6533b852fe1ef96bd12ab735

RESEARCH PRODUCT

Gadoxetate disodium-enhanced magnetic resonance cholangiography for the noninvasive detection of an active bile duct leak after laparoscopic cholecystectomy.

Massimo MidiriValentina BovaRichard S. YoungbloodDaniele MarinGiuseppe BrancatelliFrancesco Agnello

subject

Gadolinium DTPAMaleLeakmedicine.medical_specialtyCholangiopancreatography Magnetic ResonanceContrast MediaBiliary injuryGadoxetate DisodiumHematomaCholangiographyImaging Three-DimensionalPostoperative ComplicationsLiver MRI cholecistectomy hepatobiliary contrast mediaCholelithiasismedicineHumansRadiology Nuclear Medicine and imagingAgedmedicine.diagnostic_testBile ductbusiness.industryMagnetic resonance imagingmedicine.diseasemedicine.anatomical_structureCommon hepatic ductCholecystectomy LaparoscopicDrainageRadiologyBile DuctsbusinessTomography X-Ray ComputedSettore MED/36 - Diagnostica Per Immagini E Radioterapia

description

Abstract We report a case of an endoscopically confirmed biliary leak of the common hepatic duct after laparoscopic cholecystectomy that was prospectively diagnosed on gadoxetate disodium-enhanced magnetic resonance cholangiography. Whereas dynamic contrast-enhanced magnetic resonance images during the early vascular phases helped to rule out the causes of possible complications such as seroma, hematoma, or abdominal abscess, delayed hepatobiliary phase imaging was crucial for unequivocal diagnosis and location of the biliary leak. The diagnosis prompted therapeutic endoscopic retrograde cholangiography whereby a polytetrafluoroethylene-covered nitinol stent graft was successfully placed to repair the biliary injury.

yearjournalcountryeditionlanguage
2010-03-01
http://hdl.handle.net/10447/59371