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Pre-hospital detection of intrahepatic biliary duct dilatation: Recognizing the abundance of vessels in the liver

dc.contributor.authorMiravent, Sérgio
dc.contributor.authorLobo, Manuel Duarte
dc.contributor.authorAlmeida, Rui
dc.date.accessioned2025-01-28T13:33:56Z
dc.date.available2025-01-28T13:33:56Z
dc.date.issued2024-04en_US
dc.date.updated2025-01-28T11:50:12Z
dc.description.abstractDiagnosing and confirming intrahepatic biliary duct dilation (IHBDD) involves a coordinated effort across multiple medical spe cialties, often relying on comprehensive blood analysis. However, the utility of screening ultrasound in detecting intrahepatic biliary dilation becomes particularly valuable in pre-hospital settings like our Basic Emergency Service, especially when access to alternative imaging techniques or detailed blood analyses are unavailable. Detecting the intrahepatic biliary dilation pattern through ultrasound is notably straightforward for a skilled sonographer. The presence of IHBDD can be efficiently identified during a screening ultrasound, allowing identifi cation of imaging findings that help differentiate simple biliary colic from clinical cases that should be prompt referral to the reference hos pital and without unnecessary delays or resource expenditure. The eti ology of IHBDD is multifactorial1 , and while its presentations may vary, the characteristic ultrasound pattern often involves the visualization of “extra vessels within the liver,” related to the distinctive “shotgun” sign2 . This sign translates into the observation of dilated bile ducts exhibiting no flow on Doppler imaging.eng
dc.description.versionN/A
dc.identifier.doi10.1016/j.visj.2024.101992en_US
dc.identifier.issn2405-4690en_US
dc.identifier.slugcv-prod-4098816
dc.identifier.urihttp://hdl.handle.net/10400.1/26680
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBiliary
dc.subjectIntrahepatic
dc.subjectScreening
dc.subjectUltrasonography
dc.titlePre-hospital detection of intrahepatic biliary duct dilatation: Recognizing the abundance of vessels in the livereng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage101992
oaire.citation.titleVisual Journal of Emergency Medicineen_US
oaire.citation.volume35en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMiravent
person.familyNameAlmeida
person.givenNameSérgio
person.givenNameRui
person.identifier.ciencia-id0F1C-9505-9066
person.identifier.ciencia-id0113-F406-B03C
person.identifier.orcid0000-0002-1345-5747
person.identifier.orcid0000-0001-7524-9669
person.identifier.scopus-author-id55556024200
rcaap.cv.cienciaid0113-F406-B03C | Rui Pedro Pereira de Almeida
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication7c05ee8a-d45b-4438-899a-7c3cf65562aa
relation.isAuthorOfPublication61d38bec-7094-4511-9b37-d8d0ffb9586f
relation.isAuthorOfPublication.latestForDiscovery61d38bec-7094-4511-9b37-d8d0ffb9586f

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