Bile leak after elective laparoscopic cholecystectomy: role of MR imaging.
Increasing hepatobiliary laparoscopic surgeries have lead to a rise in injury to the biliary tree and other complications like bile leak. Ultrasonography (US) and computed tomography (CT) cannot reliably distinguish bile from other postoperative fluid collections. Magnetic resonance (MR) imaging with hepatobiliary agents and MR cholangiopancreatography provide anatomic and functional information that allows for prompt diagnosis and excludes any other concomitant complications. We report a case of post-cholecystectomy bile leak in a 42-year-old female who presented with persistent dull abdominal pain after the intervention; we emphasize the role of MR imaging in achieving the correct diagnosis.
Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n 2, University of Florence - Azienda Ospedaliero-Universitaria Careggi, Florence, Italy. f.mungai@gmail.com
Francesco
F
Mungai
Valentina
V
Berti
Stefano
S
Colagrande
D000328:Adult; D001646:Bile; D001652:Bile Ducts / Q000293:injuries*; D049448:Cholangiopancreatography, Magnetic Resonance; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology
Laparoscopic cholecystectomy; MR cholangiopancreatography; MR imaging; bile leak; hepatobiliary contrast agents