EURORAD ESR

Case 14750

Low Phospholipid Associated Cholelithiasis (LPAC) syndrome

Author(s)
Dr Filippigh, Dre Varnay

Hopitaux Universitaires de Genève; Rue Gabrielle-Perret-Gentil 4 1205 Genève, Switzerland; Email:Arthur.Filippigh@hcuge.ch
 
Patient
male, 26 year(s)
 
 
  • Figure 1
    3D bili-mri

    Intra and extra-hepatic biliary dilatation. The blue arrow shows a low signal content of the distal common bile duct.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Dilatation;
     
     
  • Figure 2
    Axial T2 TSE MRI, distal common bile duct
     

    The blue arrow shows the distal common bile duct. It is obstructed by material that was revealed to be sludge and micro-gallstones at ERCP (Endoscopic Retrograde Cholangio-Pancreatography).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Localisation; Special Focus: Obstruction / Occlusion;

    Previous slice. The blue arrow shows the dilated common bile duct.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Liver US examination

    The blue arrowheads shows millimetric hyperechogenicities, and the green arrow shows the comet tail artifact. Both images represent intra-hepatic millimetric gallstones.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: eLearning; Special Focus: Metabolic disorders;
     
     
Intra and extra-hepatic biliary dilatation. The blue arrow shows a low signal content of the distal common bile duct.
 
The blue arrow shows the distal common bile duct. It is obstructed by material that was revealed to be sludge and micro-gallstones at ERCP (Endoscopic Retrograde Cholangio-Pancreatography).
 
Previous slice. The blue arrow shows the dilated common bile duct.
 
The blue arrowheads shows millimetric hyperechogenicities, and the green arrow shows the comet tail artifact. Both images represent intra-hepatic millimetric gallstones.
 
 
 
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