Use of Imaging to Prevent Unnecessary Workup and Answer a Clinical Question

Document Type

Article

Publication Date

7-1-2025

Publication Title

Cureus

Abstract

With a fair percentage of all medical care deemed unnecessary for diagnosis and treatment, it is paramount that clinicians consider the rationale for each order and whether it is truly warranted. We present the case of a 71-year-old male with a history of Roux-en-Y gastric bypass who presented with choledocholithiasis and was found to have an incidental finding of a persistently narrowed segment of the right bile duct. With the usage of multiple imaging modalities, particularly CT angiography and intravascular ultrasound via an endobiliary route during biliary drain management, it was confirmed that the narrowing of concern was caused by a benign vascular compression by the right hepatic artery as opposed to a malignancy. This case demonstrates how minimally invasive imaging can reduce further potentially unnecessary tests, and thus costs, for patients.

PubMed ID

40755634

Volume

17

Issue

7

First Page

87158

Last Page

87158

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