Obstructive jaundice- operated with anastomotic stricture?

Obstructive jaundice Chief Complaints Decreased Appetite and increasing jaundice History Patient was treated for Hepatic tuberculosis 5 years back and ATT was completed . 2 years - she was operated for obstructive jaundice due to cholelithiasis, choledocholithiasis ,benign CBD stricture and Open cholecystectomy with CBD clearance after CBD exploration and choledocho- duodenostomy was done Now she presented with jaundice Vitals With in normal limits Physical Examination Icterus ++ Abdominal examination was normal Investigations S.bilirubin 4.5 mg % SGOT - 120 SGPT - 82 Alkaline phosphatase-365 USG- dilated CBD and intrahepatic aerobilia MRCP-- Anastomotic stricture? with obstructive biliopathy due to choledocholithiasis and intra- hepatic biliary calculi Diagnosis Obstructive jaundice with post operative choledocho- duodenostomy anastomotic stricture with choledocholithiasis and intrahepatic biliary calculi Management Options for treatment are 1.ERCP - clearance of CBD 2 Or open surgery Opinion of Gastroenterologisys , G.I surgeons , General surgeons and other experts is welcomed

1 Like

LikeAnswersShare

आयुर्वेद में इसे कामला कहते हैं। चिकित्सा संबंधी योग,,, यकृत दारी लौह 4 रत्ती ताप्तयादि लौह 4 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं पाषाणभेद मकोय पंचांग शाहतरा कासनी बीज पुनर्नवा गिलोय वरुण छाल गोखरु छोटा प्रत्येक 8 ग्राम लेकर काढ़ा बनाकर उसमें 1 ग्राम स्वेत परपटी डालकर सुबह शाम सेवन कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Thank you doctor
0

Options for the treatment are ERCP clearance of CBD.

Thank you@Dr. Sumathira Muthu Ma'am.
0

Cases that would interest you