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Biliary Sod

 Syn. Functional biliary sphincter of Oddi disorder , biliary sphincter of Oddi disorder , Functional biliary SOD

Signs & Symptoms

 Recurrent pain
Ref: Harrison [ 2428]
Recurrent Right Upper Quadrant pain
Ref: Harrison [ 2428]
Right upper quadrant pain #Rome_III_criteria
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction]
Epigastric pain #Rome_III_criteria
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction]

Physical Examination

Lab / Serology

 Elevated alanine aminotransferase #Rome_III_criteria
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction]
Elevated alkaline phosphatase #Rome_III_criteria
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction]
Elevated aspartate aminotransferase #Rome_III_criteria
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction]

Imagin Study

 CCK scintigraphic abnormalities
Ref: Harrison [ 2428]
Absence of bile duct stones
Ref: Harrison [ 2429]
Ultrasound demonstrate dilated common bile duct #Rome_III_criteria
Note: >8 mm in diameter, both elevated liver enzymes and a dilated CBD should raise the question of obstruction
Ref: Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Uptodate [ Clinical manifestations and diagnosis of sphincter of Oddi dysfunction] Harrison [ 2429] Cecil [ 475]

Complication

Risk Factors

 Female
Ref: Unknown [ 0]

Cause

Other