[The ultrasonic diagnosis of jaundice. 199 cases (author's transl)].
Thank to a thorough ultrasonographic analysis of biliary tree ("shotgun sign"), liver and pancreas, a positive diagnosis of obstruction was carried out in 92% of cases. The success rate in diagnosis of level of obstruction was also 92%. Aetiologic diagnosis was successful in 61% of cases only (almost 100% in jaundices of pancreatic origine). No false positive diagnosis of obstruction was made in non-obstructive jaundice. This enabled to carry out instrumental cholangiography (i.e. "skinny" needle percutaneous cholangiography, and ERC) only in case of clinical, biological and sonographic discrepancies, or in hilar obstructions.
D001653:Bile Ducts, Intrahepatic; D002758:Cholangiography; D002779:Cholestasis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D014463:Ultrasonography
Diagnostic ultrasonore des ictères. 199 malades.