Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2004 Dec;183(6):1559-66.
doi: 10.2214/ajr.183.6.01831559.

Early biliary complications of laparoscopic cholecystectomy: evaluation on T2-weighted MR cholangiography in conjunction with mangafodipir trisodium-enhanced 3D T1-weighted MR cholangiography

Mi-Suk Park  1 , Ki Whang Kim, Jeong-Sik Yu, Myeong-Jin Kim, Kyoung Won Kim, Joon Suk Lim, Eun-Suk Cho, Dong-Sup Yoon, Tae Kyoung Kim, Sung In Lee, Jong Du Lee, Woo Jung Lee, Hyun Kwon Ha, Jong Tae Lee, Hyung Sik Yoo
Affiliations

Early biliary complications of laparoscopic cholecystectomy: evaluation on T2-weighted MR cholangiography in conjunction with mangafodipir trisodium-enhanced 3D T1-weighted MR cholangiography

Mi-Suk Park et al. AJR Am J Roentgenol. 2004 Dec.

Abstract

Objective: Our aim was to assess preliminary experience with combined conventional T2-weighted and mangafodipir trisodium (MnDPDP)-enhanced T1-weighted MR cholangiography in evaluating early biliary complications of laparoscopic cholecystectomy.

Subjects and methods: Conventional heavily T2-weighted MR cholangiography with MnDPDP-enhanced T1-weighted MR cholangiography and ERCP were performed in seven patients with high clinical suspicion of biliary complications after laparoscopic cholecystectomy. The final diagnoses of complications were classified according to the presence and degree of bile duct injury, bile leakage, and retained stones.

Results: The diagnoses on MR cholangiography were as follows: complete transection and occlusion of the common bile duct with bile leakage (n = 3), partial strictures of the common bile duct with bile leakage (n = 1), cystic duct leakage (n = 1), partial ligation of an aberrant right hepatic duct (n = 1), and hemorrhage without biliary complication (n = 1). The final diagnoses at surgery (n = 2) and ERCP (n = 5) were as follows: complete transection and occlusion of the common bile duct with bile leakage (n = 2), partial strictures of the common bile duct with bile leakage (n = 2), cystic duct leakage (n = 1), partial ligation of an aberrant right hepatic duct (n = 1), and hemorrhage without biliary complication (n = 1). MR cholangiography accurately yielded the same findings as the final diagnoses, except in one case with partial stricture of the bile duct with bile leakage (overdiagnosed as complete occlusion on MR cholangiography).

Conclusion: Combined conventional T2-weighted and MnDPDP-enhanced T1-weighted MR cholangiography may eliminate the use of other studies for the imaging of biliary complications after cholecystectomy if this preliminary data can be verified in a larger study.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

  • Sonographic assessment of a suspected biloma: A case report and review of the literature.
    Tana C, D'Alessandro P, Tartaro A, Tana M, Mezzetti A, Schiavone C. Tana C, et al. World J Radiol. 2013 May 28;5(5):220-5. doi: 10.4329/wjr.v5.i5.220. World J Radiol. 2013. PMID: 23805373 Free PMC article.
  • Diagnostic value of Gd-EOB-DTPA-enhanced MR cholangiography in non-invasive detection of postoperative bile leakage.
    Kul M, Erden A, Düşünceli Atman E. Kul M, et al. Br J Radiol. 2017 Apr;90(1072):20160847. doi: 10.1259/bjr.20160847. Epub 2017 Feb 9. Br J Radiol. 2017. PMID: 28181823 Free PMC article.
  • Imaging Features of Post Main Hepatectomy Complications: The Radiologist Challenging.
    Cutolo C, De Muzio F, Fusco R, Simonetti I, Belli A, Patrone R, Grassi F, Dell'Aversana F, Pilone V, Petrillo A, Izzo F, Granata V. Cutolo C, et al. Diagnostics (Basel). 2022 May 26;12(6):1323. doi: 10.3390/diagnostics12061323. Diagnostics (Basel). 2022. PMID: 35741133 Free PMC article. Review.
  • 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.
    de'Angelis N, Catena F, Memeo R, Coccolini F, Martínez-Pérez A, Romeo OM, De Simone B, Di Saverio S, Brustia R, Rhaiem R, Piardi T, Conticchio M, Marchegiani F, Beghdadi N, Abu-Zidan FM, Alikhanov R, Allard MA, Allievi N, Amaddeo G, Ansaloni L, Andersson R, Andolfi E, Azfar M, Bala M, Benkabbou A, Ben-Ishay O, Bianchi G, Biffl WL, Brunetti F, Carra MC, Casanova D, Celentano V, Ceresoli M, Chiara O, Cimbanassi S, Bini R, Coimbra R, Luigi de'Angelis G, Decembrino F, De Palma A, de Reuver PR, Domingo C, Cotsoglou C, Ferrero A, Fraga GP, Gaiani F, Gheza F, Gurrado A, Harrison E, Henriquez A, Hofmeyr S, Iadarola R, Kashuk JL, Kianmanesh R, Kirkpatrick AW, Kluger Y, Landi F, Langella S, Lapointe R, Le Roy B, Luciani A, Machado F, Maggi U, Maier RV, Mefire AC, Hiramatsu K, Ordoñez C, Patrizi F, Planells M, Peitzman AB, Pekolj J, Perdigao F, Pereira BM, Pessaux P, Pisano M, Puyana JC, Rizoli S, Portigliotti L, Romito R, Sakakushev B, Sanei B, Scatton O, Serradilla-Martin M, Schneck AS, Sissoko ML, Sobhani I, Ten Broek RP, Testini M, Valinas R, Veloudis G, Vitali GC, Weber D, Zorcolo L, Giuliante F, Gavriilidis P, Fuks D, Sommacale D. de'Angelis N, et al. World J Emerg Surg. 2021 Jun 10;16(1):30. doi: 10.1186/s13017-021-00369-w. World J Emerg Surg. 2021. PMID: 34112197 Free PMC article.
  • Low conjunction of the cystic duct with the common bile duct: does it correlate with the formation of common bile duct stones?
    Tsitouridis I, Lazaraki G, Papastergiou C, Pagalos E, Germanidis G. Tsitouridis I, et al. Surg Endosc. 2007 Jan;21(1):48-52. doi: 10.1007/s00464-005-0498-6. Epub 2006 Sep 6. Surg Endosc. 2007. PMID: 16960679
See all "Cited by" articles

Substances

LinkOut - more resources