MRCP diagnosis of Mirizzi syndrome in a paediatric patient: importance of T1-weighted gradient echo images for diagnosis.
We report a 15-year-old boy with Mirizzi syndrome diagnosed by MR cholangiopancreatography (MRCP). Respiratory-triggered 3D MRCP was performed during free breathing. An impacted gallstone was noted in the infundibulum; this was not visible on T2-weighted images, but was hyperintense on T1-weighted gradient-echo images. This case illustrates the utility of 3D MRCP with parallel imaging in paediatric patients and the importance of T1-weighted gradient-echo images for the diagnosis of impacted gallstones.
Kaya
Diana
D
Department of Radiology, Hacettepe University School of Medicine, Sihhiye, Ankara, 06100, Turkey.
Karcaaltincaba
Musturay
M
Akhan
Okan
O
Uslu
Nuray
N
Haliloglu
Mithat
M
D000293:Adolescent; D049448:Cholangiopancreatography, Magnetic Resonance; D002769:Cholelithiasis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D013577:Syndrome