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ERCP

ERCP Endoscopic Retrograde Choliangiopancreatography

Primary Sclerosing Cholangitis

Primary Sclerosing Cholangitis

Metastases to the Biliary Tree

Cholangiocarcinoma

Distal Cholangiocarcinoma

Klatskin’s Tumor

Klatskin’s Tumor

Hilar Cholangiocarcinoma

Hilar Cholangiocarcinoma

Intrahepatic Cholangiocarcinoma

Intrahepatic Cholangiocarcinoma

Cholangiocarcinoma

Ascaris

Ascaris

Ascaris

Cholangitis

Cholangitis

Cholangitis

Cholangitis

Choledocholithiasis

Choledocholithiasis

Choledocholithiasis

Gall Stones

Gall Stones

other causes for obstruction
Dilated intrahepatic ducts secondary to a mass in the area of the porta hepatis.

other causes for obstruction
Dilated intrahepatic ducts secondary to a mass in the area of the porta hepatis.

Courvoisier sign

other causes for obstruction
Carcinoma of the head of the pancreas with obstruction of the common bile duct (CBD) is demonstrated.

other causes for obstruction
Carcinoma of the head of the pancreas with obstruction of the common bile duct (CBD) is demonstrated.

Other Causes of Obstruction
Stones within the common duct are seen if the duct is dilated. The small echogenic focus (arrows) is well seen within the duct in this transverse view.

Other Causes of Obstruction
Stones within the common duct are seen if the duct is dilated. The small echogenic focus (arrows) is well seen within the duct in this transverse view.

Other Causes of Obstruction
Inflammation of the pancreas may cause the common duct to dilate. This patient has acute pancreatitis (P) and dilation of the common duct (crossbars).
A, Aorta; IVC, inferior vena cava.

Other Causes of Obstruction
Inflammation of the pancreas may cause the common duct to dilate. This patient has acute pancreatitis (P) and dilation of the common duct (crossbars).
A, Aorta; IVC, inferior vena cava.

Mirizzi Syndrome

Mirizzi Syndrome

Mirizzi Syndrome

Klatskin tumor

Cholangiocarcinoma

Cholangiocarcinoma

Courvoisier sign

Courvoisier sign

pancreatic carcinoma

pancreatic carcinoma

Extrahepatic Biliary Obstruction

Dilated Ducts

Dilated Ducts

Dilated Ducts

Biliary Obstruction
“too many tubes” or “shotgun” sign when intrahepatic ducts are dilated.

Dilated Biliary Ducts

Caroli’s Disease

Caroli’s Disease

Caroli’s Disease

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts

Choledochal Cysts: Classification

Choledochal Cysts: Classification

Gallbladder Carcinoma

Gallbladder Carcinoma

Gallbladder Carcinoma

Gallbladder Carcinoma

Gallbladder Carcinoma

Neoplasms
Benign : Adenoma

Adenomyomatosis

Adenomyomatosis

Adenomyomatosis

Adenomyomatosis

Cholesterolosis

Cholesterolosis

Cholesterol Polyps.

Cholesterol Polyps.

Porcelain Gallbladder

Porcelain Gallbladder

Porcelain Gallbladder

Chronic Cholecystitis

Acalculous Cholecystitis

Acalculous Cholecystitis

Gangrenous Cholecystitis

Gangrenous Cholecystitis

Gangrenous Cholecystitis

Gangrenous Cholecystitis

Gangrenous Cholecystitis

Gangrenous Cholecystitis

Emphysematous Cholecystitis

Emphysematous Cholecystitis

Emphysematous Cholecystitis

sagittal
Cholelithiasis: Floating Stones
the gallbladder (GB) with a layer of stone “floating” (arrow) along the thick bile layer of sludge (Sl).

trans
Cholelithiasis: Floating Stones
the gallbladder (GB) with a layer of stone “floating” (arrow) along the thick bile layer of sludge (Sl).

WES

WES

Cholelithiasis:
“Wall Echo Shadow” Sign

Cholelithiasis:
“Wall Echo Shadow” Sign

cholesterolosis of the gallbladder