scholarly journals Biliary Sphincter of Oddi Dysfunction

2021 ◽  
Vol 15 (1) ◽  
pp. 443-449
Author(s):  
Asim Haider ◽  
Ayesha Siddiqa ◽  
Nisha Ali ◽  
Shehriyar Mehershahi

Sphincter of Oddi dysfunction (SOD) is a syndrome caused by either dyskinesia or stenosis of the sphincter of Oddi. It has been categorized into biliary and pancreatic SOD based on clinical features and laboratory findings. We present a case of a 51-year-old female (post-cholecystectomy) who presented with intermittent chronic right upper quadrant pain. Laboratory investigations showed persistently elevated liver function tests and a dilated common bile duct without the presence of any stones. Endoscopic retrograde cholangiopancreatography with manometry showed an elevated sphincter of Oddi pressure, thus confirming the diagnosis of SOD. She underwent endoscopic sphincterotomy and papillotomy with normalization of liver function tests and resolution of her chronic symptoms.


Author(s):  
Christine U. Lee ◽  
James F. Glockner

80-year-old man with right upper quadrant pain and elevated liver function tests; abdominal US performed at an outside institution showed a mass in the gallbladder Arterial (Figure 3.7.1), portal venous (Figure 3.7.2), and equilibrium phase (Figure 3.7.3) postgadolinium 3D SPGR images demonstrate a hyperenhancing mass within the gallbladder lumen. Note also the large heterogeneous mass seen in the upper pole of the right kidney....



2014 ◽  
Vol 71 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Tamara Alempijevic ◽  
Aleksandra Sokic-Milutinovic ◽  
Ljubisa Toncev ◽  
Aleksandra Pavlovic-Markovic ◽  
Srdjan Djuranovic ◽  
...  

Introduction. Primary biliary cirrhosis (PBC) is an immunemediated chronic progressive inflammatory liver disease leading to destruction of small interlobular bile ducts. Sarcoidosis is a chronic disorder of unknown etiology characterized by non-caseous granulomas. Case report. We reported a 69-year-old female patient with abdominal pain, malaise, vertigo, headaches, hands tremor and partial loss of hearing. Initial laboratory findings revealed elevated liver function tests and cholesterol with positive antimytochondrial and antinuclear antibodies. Liver biopsy revealed granuloma typical for PBC and granulomatous lesions typical for sarcoidosis. Elevated serum angiotensin-converting enzyme and granulomatous lesion on the brain magnetic resonance imaging (MRI) were detected and the patient was diagnosed with overlap of PBC and liver sarcoidosis and neurosarcoidosis. The patient was treated with ursodeoxicholic acid (UDCA) and prednisolone. Six months later the patient was symptom-free with laboratory findings within normal range. Conclusion. In PBC patients it is important to consider coexisting granulomatous liver diseases if elevated liver function tests persist despite UDCA therapy.



Author(s):  
Christine U. Lee ◽  
James F. Glockner

64-year-old man with elevated liver function tests MIP image from 3D FRFSE MRCP (Figure 4.25.1) reveals a filling defect in the distal common bile duct, diffuse intrahepatic biliary dilatation, and mild dilatation of the pancreatic duct. Coronal oblique SSFSE images (Figure ...





2013 ◽  
Vol 34 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Nicole Mayer-Hamblett ◽  
Margaret Kloster ◽  
Bonnie W. Ramsey ◽  
Michael R. Narkewicz ◽  
Lisa Saiman ◽  
...  


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