ABSTRACT

Choledocholithiasis is the presence of a gallstone within the bile ducts (including common hepatic duct and common bile duct).

Objectives: The main objective of the study is to find the diagnostic accuracy of ultrasound in the diagnosis of choledocholithiasis taking surgical findings as gold standard.

Material and Methods: This cross sectional study was conducted at Department of Radiology, Bahawal Victoria Hospital/QAMC Bahawalpur during from May 2020 to January 2021. The data was collected through non probability consecutive sampling technique.The data was collected from 95 patients. These patients had been advised MRCP with clinical suspicion of Choledocholithiasis. Once report obtained and diagnosis of choledocholithiasis was confirmed then patients were referred to the surgery department.

Results: The data was collected from 95 patients and we reviewed records from all patients treated for choledocholithiasis. Records were obtained from the hospital database to assess the frequency of acute biliary pancreatitis in silent gall-stones. Choledocholithiasis was diagnosed based on characteristics signs and symptoms, amylase and lipase test. The mean age of the patients were 48.5 who were admitted in the general surgery department of the hospital.

Conclusion: It is concluded that MRCP can be considered as the most reliable, non-invasive, operator and patient independent tool in large repertoire of available methods for detection of Choledocholithiasis