Gadoxetate disodium-enhanced magnetic resonance cholangiography for the noninvasive detection of an active bile duct leak after laparoscopic cholecystectomy.
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.
Marin
Daniele
D
Department of Radiology, Duke University Medical Center, Durham, NC, USA.
Bova
Valentina
V
Agnello
Francesco
F
Youngblood
Richard
R
Midiri
Massimo
M
Brancatelli
Giuseppe
G
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
D003287:Contrast Media; C073590:gadolinium ethoxybenzyl DTPA; D019786:Gadolinium DTPA