Magnetic resonance imaging of extrahepatic bile duct disruption.
Blunt injury of the extrahepatic bile duct is rare and hence a large series of scientific study of its MRI is difficult to perform. We present the MRI and MR cholangiography of a case of blunt extrahepatic bile duct injury proven at surgery. The diagnosis could be established based on MRI findings of an abrupt tapering of the extrahepatic bile duct with a retracted end, a discordant small-caliber proximal duct, massive ascites, and a hematoma in proximity to the bile duct injury. This non-invasive MRI study is a promising imaging modality to evaluate biliary tract injury.
Wong
Yon-Cheong
YC
Department of Radiology, Chang Gung Memorial Hospital, 5, Fu-Hsing Street, Gueishan, 33333 Taoyuan, Taiwan. ycwong@cgmh.org.tw
Wang
Li-Jen
LJ
Chen
Ray-Jade
RJ
Chen
Chi-Jen
CJ
D000063:Accidents, Traffic; D000328:Adult; D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000601:surgery; D017734:Bile Ducts, Extrahepatic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D002758:Cholangiography / Q000379:methods; D002763:Cholecystectomy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D016896:Treatment Outcome