Sonographic demonstration of duodenobiliary reflux with soda enhancement.
Cholangitis rarely occurs after sphincteroplasty if there is no biliary obstruction. We report the case of a patient who developed recurrent cholangitis despite having a patent biliary tract after sphincteroplasty. Duodenobiliary reflux was demonstrated on sonography after enhancement of the reflux flow with a novel oral contrast agent, a carbonated soda beverage. Sonography with contrast enhancement provided by soda solution may prove satisfactory to detect duodenobiliary reflux after sphincteroplasty safely, effectively, and economically.
Wu
Chien-Hsien
CH
Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei 10016, Taiwan, Republic of China.
Chiu
Han-Mo
HM
Liu
Kao-Lang
KL
Lin
Jaw-Town
JT
Wang
Hsiu-Po
HP
D015746:Abdominal Pain / Q000209:etiology; D001655:Bile Reflux / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D002253:Carbonated Beverages; D002761:Cholangitis / Q000175:diagnosis / Q000209:etiology; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D008875:Middle Aged; D012008:Recurrence; D013105:Sphincterotomy, Transduodenal / Q000009:adverse effects; D014463:Ultrasonography