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Titolo:
SONOGRAPHY IN AIDS-RELATED CHOLANGITIS - PREVALENCE AND CAUSE OF AN ECHOGENIC NODULE IN THE DISTAL END OF THE COMMON BILE-DUCT
Autore:
DASILVA F; BOUDGHENE F; LECOMTE I; DELAGE Y; GRANGE JD; BIGOT JM;
Indirizzi:
HOP TENON,SERV RADIOL F-75970 PARIS 20 FRANCE HOP TENON,SERV RADIOL F-75970 PARIS 20 FRANCE
Titolo Testata:
American journal of roentgenology
fascicolo: 6, volume: 160, anno: 1993,
pagine: 1205 - 1207
SICI:
0361-803X(1993)160:6<1205:SIAC-P>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACQUIRED IMMUNODEFICIENCY SYNDROME; BILIARY-TRACT; CRYPTOSPORIDIOSIS; ABNORMALITIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
F. Dasilva et al., "SONOGRAPHY IN AIDS-RELATED CHOLANGITIS - PREVALENCE AND CAUSE OF AN ECHOGENIC NODULE IN THE DISTAL END OF THE COMMON BILE-DUCT", American journal of roentgenology, 160(6), 1993, pp. 1205-1207

Abstract

OBJECTIVE. The purpose of this study was to determine the prevalence and cause of an echogenic nodule in the distal end of the common bile duct seen on sonograms in patients who have AIDS-related cholangitis. SUBJECTS AND METHODS. Sonograms of the liver and bile ducts were obtained in 15 patients who had AIDS-related cholangitis. Both 3.75- and 5-MHz transducers were used in all patients. The appearance of an echogenic nodule in the distal end of the common bile duct was compared withthe results of endoscopic retrograde cholangiograms in 12 patients and with biopsies of the papilla of Vater in the first five cases. RESULTS. Sonograms showed a hyperechoic nodule in the distal end of the common bile duct in 10 of the 15 cases. Visualization was improved after oral administration of water. The finding correlated with edema of thepapilla of Vater noted on retrograde cholangiograms in eight cases. Biopsy of the papilla of Vater in five cases showed an inflammatory infiltrate. The nodule became smaller in one patient when cholestasis improved after treatment for cryptosporidiosis. CONCLUSION. An echogenic nodule was detected in the distal end of the common bile duct on sonograms in two thirds of patients who had AIDS-related cholangitis. Our findings suggest the abnormality is caused by edema of the papilla of Vater.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 15:40:13