The literature pertaining to EUS for the diagnosis of choledocholithiasis reports widely varying sensitivities and specificities. |
Endoscopic ultrasound and CT ruled out choledocholithiasis, but revealed a bulky pancreas indicating inflammation. |
Evaluation of the common bile duct may also be performed for abnormalities including dilatation and choledocholithiasis. |
Thus MR has been reserved for cases in which choledocholithiasis is the main consideration or in pregnant patients where radiation exposure is of greatest concern. |
Symptomatic choledocholithiasis can be treated during pregnancy. |
Patients with acute gallstone pancreatitis who are strongly suspected to have common duct stones require rapid assessment for choledocholithiasis. |