Biliary system

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  1. 1. Biliary System Presented by Dr Laith fadhel
  2. 2. Methods of investigations US (Trans abdominal / Endoscopic US ) CT / CT - IVC {sodium ipodate , iotroxate } 30min supine &prone MRI , MRCP , functional MR cholangiography 30-60 min( hepato excreted contrast Gd-EOB DTPA , Primovist or Gd-BOPTA ERCP PTC ( Percutaneous transhepatic cholangiography ) 22G chiba needle Intra operative ( IOC ) T-tube day 7 post op Hepato Scintigraphy HIDA ( TC 99 m 2-4 hs )
  3. 3. Gall Bladder atersia & hypoplasia