title: Gadoxetate disodium-enhanced magnetic resonance cholangiography for the noninvasive detection of an active bile duct leak after laparoscopic cholecystectomy.
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.
authors.affiliation: Department of Radiology, Duke University Medical Center, Durham, NC, USA.
authors.forename: Daniele
authors.initials: D
authors.lastname: Marin
authors.forename: Valentina
authors.initials: V
authors.lastname: Bova
authors.forename: Francesco
authors.initials: F
authors.lastname: Agnello
authors.forename: Richard
authors.initials: R
authors.lastname: Youngblood
authors.forename: Massimo
authors.initials: M
authors.lastname: Midiri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Brancatelli
mesh_terms: D000368:Aged; D001652:Bile Ducts / Q000293:injuries*; D049448:Cholangiopancreatography, Magnetic Resonance / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery; D003287:Contrast Media; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D019786:Gadolinium DTPA; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; C073590:gadolinium ethoxybenzyl DTPA; D019786:Gadolinium DTPA