Skip to main content
SpringerLink
Log in

Jaundice

  • Chapter
Ultrasound Diagnosis of Digestive Diseases

  • 122 Accesses

Abstract

Liver, gallbladder, and pancreatic diseases, all of which are related to the diagnosis of jaundice, have already been discussed. Ultrasound examination of the jaundiced patient proceeds in a logical fashion. The first step is to decide whether there is dilatation of the biliary tree. Dilatation may exist at the level of the common bile duct, the common hepatic duct, the convergence of the right and left hepatic ducts, the intrahepatic bile ducts, or the gallbladder. The second step is to identify the exact level of obstruction, and, if possible, the obstructing lesion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Further Reading

  • Abdeselem K, Hassine W, Gharbi HA (1982) Comlica-tions biliaires du kyste hydatique du foie. Méd Chir Dig 11:189–191

    PubMed  CAS  Google Scholar 

  • Baron RL, Stanley RJ, Lee JKT, Koehler RE, Melson GL, Belfe DM, Weyman PJ (1982) A prospective comparison of the evaluation of biliary obstruction using computed tomography and ultrasonography. Radiology 145: 91–98

    PubMed  CAS  Google Scholar 

  • Berk RN, Cooperberg PL, Gold RP, Rohrmann CA, Ferrucci JT (1982) Radiography of the bile ducts. Radiology 145:1–9

    PubMed  CAS  Google Scholar 

  • Bismuth H, Housin D (1978) Economie de moyens dans le diagnostic des ictères: attitude décisionnelle contre attitude diagnostique. Nouv Presse Méd 7 (26): 2629–2833

    PubMed  CAS  Google Scholar 

  • Bolondi L, Gandolfi L, Labo G (1979) Ultrasuoni in gastroenterologia. Piccin Editore, Padua Brauner M, Gastinne R, Hassan M (1985) Analyse conjointe de Péchographie et de la biologie dans les dilatations des voies bilaires. J Radiol 66 (8–9): 515–518

    Google Scholar 

  • Bressler EL, Rubin JM, McCraken S (1987) Sonographic parallel channel sign: a reappraisal. Radiology 164: 343–346

    PubMed  CAS  Google Scholar 

  • Choi BI, Lee JH, Han MC et al. (1989) Hilar cholangio-carcinoma — comparative study with sonography and CT. Radiology 172: 689–692

    PubMed  CAS  Google Scholar 

  • Conrad MR, Landay MJ, Janes JO (1978) Sonographic “parallel channel” sign of biliary tree enlargement in mild to moderate obstruction jaundice. AJR 130: 279–286

    PubMed  CAS  Google Scholar 

  • Cooperberg PL, Li D, Wong P, Cohen MM, Burhenne HJ (1980) Accuracy of common hepatic duct size in the evaluation of extrahepatic biliary obstruction. Radiology 135:141–144

    PubMed  CAS  Google Scholar 

  • Cosgrove DO, Dunn F (1976) Ultrasonic differentiation between blood and bile vessels in the liver. Proceedings of the world federation of ultrasound in medicine and biology. American Institute for Ultrasound in Medicine, San Francisco, abstract no 551

    Google Scholar 

  • Cronan JJ (1986) US diagnosis of choledocholithiasis: a reappraisal. Radiology 161:133–134

    PubMed  CAS  Google Scholar 

  • Cronan JJ, Mueller PR, Simeone JF, O’Connell RS, Van Sonnenberg E, Wittenberg J, Ferrucci JT (1983) Prospective diagnosis of choledocholithiasis. Radiology 146:467–469

    PubMed  CAS  Google Scholar 

  • Cunningham JJ, Carswell EL (1982) Strong acoustical shadowing from the gallbladder bed: ultrasonic-pathologic correlation. Gastrointest Radiol 7: 367–369

    Article  PubMed  CAS  Google Scholar 

  • Dalla-Palma L, Rizzatto G, Bazzocchi M, Pozzi-Mucelli RS (1982) Grey-scale ultrasonography in the evalu-ation of primary carcinomas of the bile ducts. Eur J Radiol 2:135

    PubMed  CAS  Google Scholar 

  • Darweesh RMA, Dodds WJ, Hogan WJ et al. (1988) Fatty meal sonography for evaluating patients with suspected partial common duct obstruction. AJR 151:63–68

    PubMed  CAS  Google Scholar 

  • Eisenscher A, Sauget Y (1980) Aspect ultrasonore des ascaridioses et distomatoses des voies biliaires. J Radiol 61 (5): 319–322

    PubMed  CAS  Google Scholar 

  • Ethier S, Fontaine A (1980) L’image de la tourelle. Un signe échographique utile dans l’obstruction biliaire basse. Union Med Can 109:1204–1206

    PubMed  CAS  Google Scholar 

  • Ethier S, Fontaine A, Laperriere J, Gregoire A, Boisjoli A, Magnan F (1980) Séméiologie, ultrasonore de l’ictère par rétention. Union Méd Can 109:1–6

    Google Scholar 

  • Ferruci JT, Adson MA, Mueller PR, Stanley RJ, Stewart ET (1983) Advances in the radiology of jaundice. A symposium and review. AJR 141:1–20

    Google Scholar 

  • Floyd JL, Collins TL (1982) Discordance of sonography and cholescintigraphy in acute biliary obstruction. AJR 140: 501–502

    Google Scholar 

  • Gibson RN, Young F, Thompson JN, Carr DH, Hemingway AP, Bradpiece HA, Benjamin IS, Blumgart LH, Allison DJ (1986) Bile duct obstruction: radiologic evaluation of level, cause, and tumor resectability. Radiology 160:43–47

    PubMed  CAS  Google Scholar 

  • Ginestal-Cruz A, Correia JP, Camilo E, Grima N, Cardoso A, Baptista A, Gargate A, Ribeiro JC, Lacerda A (1981) Combined approach to the differential diagnosis of cholestatic jaundice with endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, ultrasonography, and liver biopsy. Gastrointest. Radiol 6:177–183

    CAS  Google Scholar 

  • Glazer GM, Filly RA, Laing FC (1981) Rapid change in caliber of the nonobstructed duct. Radiology 140: 161–162

    PubMed  CAS  Google Scholar 

  • Goldberg BB (1976) Ultrasonic cholangiography gray scale B-scan evaluation of the common bile duct. Radiology 118:400–404

    Google Scholar 

  • Gross BH, Harter LP, Gore RM, Callen PW, Filly RA, Shapiro HA, Goldberg HI (1983) Ultrasonic evaluation of common bile duct stones: prospective comparison with endoscopic retrograde cholangiopancreatography. Radiology 146:471–474

    PubMed  CAS  Google Scholar 

  • Hadidi A (1982) Normal and obstructed main bile duct evaluated by a modified ultrasound technique. Acta Radiol [Diagn] (Stockh) 23 (1): 37–41

    CAS  Google Scholar 

  • Hadidi A (1983) Ultrasonic diagnosis of primary intraductal cholelith and Neoplasm. Gastrointest Radiol 8:333–336

    Article  PubMed  CAS  Google Scholar 

  • Hoevels J (1978) Topographic relation of portal vein to extrahepatic bile ducts. Fortschr Roentgenstr 129 (2): 217–222

    Article  CAS  Google Scholar 

  • Horing B, Kunzig B, von Gaisberg U (1993) Stellenwert der Sonographie in der Diagnostik von Gallengang-tumoren. Ultraschall in der Medizin 14:269–271

    Article  PubMed  CAS  Google Scholar 

  • Janus C, Hertz I, Horner N, Waye J (1982) Diagnostic retrospective in pancreaticobiliary imaging: ultrasound and ERCP. Gastrointest Radiol 7: 363–365

    Article  PubMed  CAS  Google Scholar 

  • Koenigsberg M, Wiener SN, Walzer A (1979) The accuracy of sonography in the differential diagnosis of obstrucive jaundice: a comparison with cholangiography. Radiology 133:157–165

    PubMed  CAS  Google Scholar 

  • Laing FC, Jeffrey RB (1983) Choledocholithiasis and cystic duct obstruction: difficult ultrasonographic diagnosis. Radiology 146:475–479

    PubMed  CAS  Google Scholar 

  • Laing FC, Jeffrey RB, Wing VW, Nyberg DA (1986) Biliary dilatation: defining the level and cause by realtime US. Radiology 160: 39–42

    PubMed  CAS  Google Scholar 

  • Lammer J, Neumayer K (1986) Biliary drainage endoprostheses: experience with 201 placements. Radiology 159:625–629

    PubMed  CAS  Google Scholar 

  • Lee JKT, Melson GL (1979) Unusual sonographic appearance of a Courvoisier gallbladder. Radiology 7/8: 93–94

    Google Scholar 

  • Levine E, Maklad NF, Wright CH, Lee KR (1979) Computed tomographic and ultrasonic appearances of primary carcinoma of the common bile duct. Gastrointest Radiol 4:147–151

    Article  PubMed  CAS  Google Scholar 

  • Makuuchi M, Bandai Y, Ito T, Watanabe G, Wada T, Abe H, Muroi T (1980) Ultrasonically guided percutaneous transhepatic bile drainage. Radiology 136: 165–169

    PubMed  CAS  Google Scholar 

  • Mueller PR, Cronan JJ, Simeone JF, van Sonnenberg E, Hall DA (1983) Choledocholithiasis: Ultrasonographic caveats. J Ultrasound Med 2:13–16

    Google Scholar 

  • Nesbit GM, Johnson CD, James EM et al. (1988) Cholangiocarcinoma: diagnosis and evaluation of resectability by CT and sonography as procedures complementary to cholangiography. AJR 151: 933–938

    PubMed  CAS  Google Scholar 

  • Robiedo R, Prieto ML, Perez M et al. (1988) Carcinoma of the hepato-pancreatic ampullar region: role of US. Radiology 166:409–412

    Google Scholar 

  • Pedersen JH, Christensen RF, Juul N, Burcharth F (1985) Comparison of ultrasonography and transhepatic cholangiography in the evaluation of obstructive jaundice. Fortschr Röntgenstr 143 (1): 41–43

    Article  CAS  Google Scholar 

  • Perlmutter GS, Goldberg BB (1975) Ultrasonic evaluation of the common bile duct. J Clin Ultrasound 4: 107–111

    Article  Google Scholar 

  • Phillips G, Banks S, Kumari-Subaiya S, Kurtz LM (1982) Percutaneous ultrasound-guided puncture of the gallbladder. Radiology 145: 769–772

    PubMed  CAS  Google Scholar 

  • Ralls PW, Quinn MF, Halls J (1981) Biliary sonography: Ventral bowing of the dilated common duct. AJR 137:1127–1129

    PubMed  CAS  Google Scholar 

  • Ralls PW, Mayekawa DS, Lee KP et al. (1989) The use of color Doppler sonography to distinguish dilated intrahepatic ducts from vascular structures. AJR 152: 191–192

    Google Scholar 

  • Sidharta H, Brotohusodo J, Sjahli D (1985) The value of ultrasonography in obstructive jaundice. 5th World congress of ultrasound (WFUMB), July 1985, Sydney, abstract p 131

    Google Scholar 

  • Simeone JF, Mueller PR, Ferrucci JT et al. (1982) Sonography of the bile ducts after a fatty meal: an aid in detection of obstruction. Radiology 143: 211–215

    PubMed  CAS  Google Scholar 

  • Simeone JF, Butch RJ, Mueller PR, Van Sonnenberg E, Ferrucci JT Jr, Hall DA, Kopans DB, Dawson SL, Wittenberg J, McCarthy K (1985) The bile ducts after a fatty meal: further sonographic observations. Radiology 154: 763–768

    PubMed  CAS  Google Scholar 

  • Stone LB, Ferrucci JT Jr, Warshaw AL, Wittenberg J, Slutsky M (1975) Gray scale ultrasound diagnosis of obstructive biliary disease. AJR 125:47–50

    CAS  Google Scholar 

  • Subramanyam BR, Balthazar EJ, Naidich DP (1983) Ruptured hydatid cyst with biliary obstruction: diagnosis by sonography and computed tomography. Gastrointest Radiol 8: 341–343

    Article  PubMed  CAS  Google Scholar 

  • Suzuki M, Takashima T, Funaki H et al. (1983) CT diagnosis of common bile duct stone. Gastrointest Radiol 8: 327–331

    Article  PubMed  CAS  Google Scholar 

  • Taylor KJW, Carpenter DA, McCready VR (1974) Ultrasound and scintigraphy in the differential diagnosis of obstructive jaundice. J Clin Ultrasound 2: 105–115

    Article  PubMed  CAS  Google Scholar 

  • Tubiana JM, Taboury J (1990) Ampullome vatérien. Rôle de l’échographie. Rev Im Med 2:21–24

    Google Scholar 

  • Weill F (1977) Ultrasonographic digestive abdominale. Encycl Méd Chir Radiodiagnostic IV, fasc 33506 E 10: 85

    Google Scholar 

  • Weill F, Gisselbrecht H, Ricatte JP, Kraehenbuhl JR, Schraub S, Becker JC (1971) Diagnostic tomo-échographique des dilatations vesiculates. Arch Fr Mal App Dig 60: 49–54

    PubMed  CAS  Google Scholar 

  • Weill F, Becker JC, Kraehenbuhl JR, Heriot G, Walter JP (1973) Atlas clinique de radiographie ultrasonore. Masson, Paris

    Google Scholar 

  • Weill F, Bourgoin A, Aucant D, Eisenscher A, Faivre M, Gillet M (1974) L’exploration tomo-échographique des dilatations de la voie biliaire principale. Sa place dans le bilan radiologique d’un ictère. Arch Fr Mal App Dig 63: 453–472

    PubMed  CAS  Google Scholar 

  • Weill F, Eisenscher A, Zeltner F (1978 a) Ultrasonic study of the normal and dilated biliary tree. The shotgun sign. Radiology 12: 221–224

    Google Scholar 

  • Weill F, Marmier A, Paronneau P, Zeltner F, Charton MN (1978 b) Diagnostic ultrasonore des ictères, 199 malades. Nouv Presse Méd 7/41: 3729–3731

    PubMed  CAS  Google Scholar 

  • Weill F, Marmier A, Paronneau P, Zeltner F, Rohmer P (1979) Etude ultrasonore des ictères. Séméiologie. Résultats à propos de 199 cas. J Radiol 59:659–668

    Google Scholar 

  • Weinstein BJ, Weinstein DP (1980) Biliary tract dilatation in the nonjaundiced patient. AJR 134:899–906

    PubMed  CAS  Google Scholar 

  • Zeman R, Taylor KJW, Burrel MI, Gold J (1980) Ultrasound demonstration of an icteric dilatation of the biliary tree. Radiology 134: 689–692

    PubMed  CAS  Google Scholar 

  • Zeman RK, Lee C, Stahl RS et al. (1982) Ultrasonography and hepatobiliary scintigraphy in the assessment of biliary-enteric anastomoses. Radiology 145:109–115

    PubMed  CAS  Google Scholar 

  • Zeman RK, Burrell MI, Dobbins J, Jaffe MH, Choyke PL (1985) Postcholecystectomy syndrome: evaluation using biliary scintigraphy and endoscopic retrograde cholangiopancreatography. Radiology 156: 787–792

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. La Combe d’Arolles, 35, rue du Comté de Montbéliard, 25660, Montfaucon, France

    Francis S. Weill (Professor of Radiology (Emeritus)

Authors
  1. Francis S. Weill
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Weill, F.S. (1996). Jaundice. In: Ultrasound Diagnosis of Digestive Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61045-5_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-61045-5_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64669-0

  • Online ISBN: 978-3-642-61045-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation