Radiologic Diagnostic Criteria of Sphincter of Oddi Dysfunction: Analysis of Five Cases Confirmed by Biliary Manometry.
10.3348/jkrs.1994.30.3.505
- Author:
Myung Hwan KIM
;
Moon Gyu LEE
;
Yong AUH
;
Hyun LIM
;
Seung Yeon BAEK
;
Kyoung Sik CHO
;
Hyun Kyung SUNG
- Publication Type:Original Article
- MeSH:
Aged;
Biliary Dyskinesia;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystokinin;
Common Bile Duct;
Contrast Media;
Diagnosis;
Duodenum;
Female;
Humans;
Manometry*;
Pathology;
Sphincter of Oddi Dysfunction*;
Sphincter of Oddi*
- From:Journal of the Korean Radiological Society
1994;30(3):505-510
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Biliary dyskinesia was considered as a wastebasket of quasi-biliary disease which could not be clearly explained under the basis of morphologic pathology. This entity was a source of confusion because of misconception and poor understanding. Recent introduction of biliary manometric technique enlightened some of these disorders. We evaluated the cholangiographic morphology of these disorders to clarify and to characterize the some characteristic findings, subsequently in order to help the diagnosis. MATERIALS AND METHODS: Five cases were confirmed by this technique as sphincter of Oddi dysfunction for last 13 months. All patients were female and age range was 53 to 75 years old. All patients were suffered from intermittent and recurrent biliary type pain. RESULTS: ERCP showed five common findings. The common bile duct was dilated over 12ram in all patients. Different from recurrent pyogenic cholangiohepatitis, intrahepatic ducts were proportionally dilated as extrahepatic ducts, in four patients and they branched normally and ductal wall was smooth. Transient or persistent meniscus sign was observed in four patients. All patients showed delayed emptying of contrast media from the common bile duct into the duodenum. Following IV injection of cholecystokinin, persistent meniscus disappeared and contrast media inflowed into the duodenum. CONCLUSION: Identification of all or some characteristic cholangiographic findings may eliminate a cumbersome and painful biliary manometric test for the diagnosis of sphincter of Oddi dysfunction.
