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Case 50: Right upper quadrant abdominal pain, fever and jaundice.

A 73 year old man presented to the emergency department with right upper quadrant abdominal pain, fevers with rigors, and had noticed his urine the colour of tea before you put milk in it.

1. Right upper quadrant abdominal pain, fever and jaundice. Whose triad is this?

Charcot's triad

2. What is this investigation called?

MRCP - magnetic resonance cholangiopancreatography

3. Can you name the structures 1- 7?

1.Nasogastric tube
2.Left hepatic duct
3.Lower common bile duct with stone in lumen
4.Pancreatic duct
5.Cystic duct
6.Gallbladder
7.Right anterior and posterior sectoral ducts.

4. Can you see anything else near the 3 arrowhead?

A stone in the bile duct

Further reading

Powerpoint Presentation