Gadoxetate disodium-enhanced magnetic resonance cholangiography for the noninvasive detection of an active bile duct leak after laparoscopic cholecystectomy.

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Marin, D; Bova, V; Agnello, F; Youngblood, R; Midiri, M; Brancatelli, G

Published Date

  • March 2010

Published In

Volume / Issue

  • 34 / 2

Start / End Page

  • 213 - 216

PubMed ID

  • 20351507

Electronic International Standard Serial Number (EISSN)

  • 1532-3145

Digital Object Identifier (DOI)

  • 10.1097/RCT.0b013e3181c1a72c

Language

  • eng

Conference Location

  • United States