Even if a blocked bile duct can unblock itself, patients should not rely on this outcome because:
To understand the potential for spontaneous unblocking, one must consider the anatomy. The Common Bile Duct (CBD) is the final common pathway for bile. Its diameter is variable but generally ranges from 4mm to 8mm in adults. The distal end of the CBD passes through the Sphincter of Oddi, a muscular valve that controls the flow of bile and pancreatic juice into the duodenum.
PSC involves chronic inflammation and fibrosis of the bile ducts. The obstructions here are structural changes to the duct walls. These do not resolve spontaneously; they typically progress.
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