Intravenous cholangiogram

Intravenous cholangiogram/IVC

Definition :--
The intravenous cholangiogram is a radiological procedure that is used to look at the larger bile ducts within the liver and the bile ducts outside the liver

Indications :--
Biliary strictures
Biliary stone

contrast:--
Biligraphin contrast

Risk factor:--
contrast reaction


Procedure : The iodine containing dye is injected intravenously into the blood the the liver removes the dye from the blood and excrete it into the bile

The gall bladder is not always seen on an IVC, the iodine containing bile may bypass the gallbladder entirely and empty directly into the small intestine.

Position of Patient:
Place the patient in the supine position for a preliminary or scout radiograph of the abdomen.
Place the patient in the RPO position 15° to 40° for an AP oblique projection of the biliary ducts.

Timed from the completion of the injection, duct studies are ordinarily obtained at 10 minutes intervals until satisfactory visualization is obtained. Maximum opacification usually requires 30 to 40 minutes.

And images are taken.

Filming
plain Abdomen AP
RPO Position

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