Intrabiliary rupture of hepatic hydatid cysts: diagnostic accuracy of MR cholangiopancreatography.
OBJECTIVE
The purpose of this study was to establish the role of MR cholangiopancreatography (MRCP) in the diagnosis of biliary rupture in hepatic hydatid disease. We sought to determine whether the morphologic features of cysts and bile duct abnormalities detected on MRCP are specific enough for identification of intrabiliary rupture.


CONCLUSIONS
If one of the following MRCP findings of apparent connection between hydatid cyst and biliary system, deformation of cyst, focal defect in cyst wall, or beaklike projection extending from cyst wall was present in a patient with hepatic hydatid cyst, the sensitivity of MRCP was 91.7% and the specificity was 82.8% for identification of intrabiliary rupture.
Erden
Ayşe
A
Department of Radiology, Ankara University School of Medicine, Talatpaşa Bulvari, Sihhiye, 06100, Ankara, Turkey. ayse.erden@medicine.ankara.edu.tr
Ormeci
Necati
N
Fitoz
Suat
S
Erden
Ilhan
I
Tanju
Sumru
S
Genç
Yasemin
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D049448:Cholangiopancreatography, Magnetic Resonance / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012422:Rupture, Spontaneous