Dilation of Both Pancreatic Duct and the Common Bile Duct on Computed Tomography and Magnetic Resonance Imaging Scans in Patients With or Without Obstructive Jaundice

Pancreas ◽  
2012 ◽  
pp. 1
Author(s):  
Naveen Krishna ◽  
Pavan Tummala ◽  
Amith V. Reddy ◽  
Mohit Mehra ◽  
Banke Agarwal
1998 ◽  
Vol 85 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Musella ◽  
Barbalace ◽  
Capparelli ◽  
Carrano ◽  
Castaldo ◽  
...  

2004 ◽  
Vol 74 (8) ◽  
pp. 619-621 ◽  
Author(s):  
Ritwik Kejriwal ◽  
Jennifer Liang ◽  
Graeme Anderson ◽  
Andrew Hill

2020 ◽  
Vol 10 (4) ◽  
pp. 392-396
Author(s):  
Rani Abu Elgasim ◽  
Ahmed Abukonna ◽  
Ala Elgyoum ◽  
Mogahid Zidan ◽  
Mustafa Mahmoud ◽  
...  

The purpose of our study was to evaluate the common bile duct (CBD) and pancreatic duct (PD) diameter among healthy adult Sudanese subjects using magnetic resonance cholangiopancreatography (MRCP). In addition, this study aimed to determine the effects of age, gender, and body height and weight on the CBD and PD diameters to establish a reference range for these ducts on MRCP, which is very useful in a daily clinical setting where MRCP is commonly performed to evaluate suspected biliary tract disease. Methods and Results: This study included 80 asymptomatic subjects who underwent MRCP. The widest diameter of the CBD and PD was measured perpendicular to their long axes using the electronic caliper. The applied MRCP imaging technique was in line with the guidelines used by Chen et al.(2012) The age, gender, medical history, body height and body weight were recorded. Among the 80 subjects, the mean CBD diameter on MRCP was 6.17±0.69 mm (range of 4-8 mm). There was a significant correlation between the CBD diameter and weight (r=0.407, P<0.001). The mean PD diameter on MRCP was 3.80±0.50mm (range of 2-5 mm). There was also a significant correlation between the PD diameter and weight (r=0.407, P<0.001). In the cohort of 80 subjects, the mean CBD diameter in females was larger than in males(6.50±0.632mm and 5.95±0.677mm, respectively), and this difference was statistically significant (P<0.05). Also, the mean PD diameter in females was statistically larger than in males (6.03±0.66mm and 5.58±0.675mm, respectively), and this difference was statistically significant (P<0.05). Our results demonstrate no significant correlation between the diameter of CBD and PD and participants' height and age. Conclusion: The importance of the current study lies in it’s being one of the few studies whose intention was to use MRCP to bridge the knowledge gap in the literature about the measurement of the CBD and PD diameter among healthy adult Sudanese subjects.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Sezayi Kantar

Background. The anatomical variability of bile ducts can leave surgeons in very difficult conditions.Ultrasonography, computed tomography, magnetic resonance imaging (MRCP) and endoscopic imaging methods are used in diagnosis. In addition to conservative approaches, endoscopic procedures and laparoscopic or open surgical interventions may be necessary for treatment. In this article, we present a case of aberrant bile duct in left triangular ligament (appendix fibrosa hepatis), which is rarely seen. Case. We report the case of a 67-year-old female patient who was operated on due to dumping syndrome symptoms and hiatal hernia. There was a drainage of bile from the left side of the liver which was placed under the cardioesophageal junction. MRCP found bile esophageal in the left triangular ligament of the liver. Aberrant bile ducts were found in the left triangular ligament and ligated. The patient was discharged on the 7th day after operation. Conclusion. The anatomical variability of bile ducts can leave surgeons in very difficult conditions. We recommend that the dissected left triangular ligament should be ligated for the aberrant bile duct, especially in female patient.


2017 ◽  
Vol 11 (2) ◽  
pp. 265-270
Author(s):  
Takahiro Yamanaka ◽  
Kenichiro Araki ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
Takamichi Igarashi ◽  
...  

Pancreaticobiliary maljunction (PBM) is a congenital malformation that is associated with biliary cancer development. When patients are diagnosed with PBM, a diversion operation is recommended. Although a risk remains for developing residual bile duct carcinoma following diversion, the development of a carcinoma of the ampulla of Vater after a diversion operation for PBM is rare. We present a treated case of carcinoma of the ampulla of Vater after a diversion operation for PBM. A 65-year-old woman presented with abdominal pain. She had undergone extrahepatic bile duct resection and cholecystectomy 2 years 9 months previously for the treatment of type Ic PBM according to the Todani classification. At the current admission for evaluation of the abdominal pain, computed tomography and magnetic resonance imaging showed only dilation of the main pancreatic duct. However, gastrointestinal endoscopy showed a tumor at the papilla of Vater, and biopsy revealed adenocarcinoma of the papilla of Vater. We performed pylorus-preserving pancreaticoduodenectomy, and the pathological diagnosis was moderately differentiated tubular adenocarcinoma of the papilla of Vater with no metastasis to the lymph nodes. The patient remained in good health for 3 years postoperatively. Carcinoma of the papilla of Vater after a diversion operation for PBM is rare. In this case, a diagnosis could not be made by computed tomography or magnetic resonance imaging; the definitive diagnosis was obtained with gastrointestinal endoscopy. Careful postoperative follow-up with gastrointestinal endoscopy in addition to imaging examination may be needed after a diversion operation for PBM.


2020 ◽  
Vol 10 (12) ◽  
pp. 2989-2993
Author(s):  
Yun Liu ◽  
Hongyan Zhao

Objective: To evaluate the value of multislice spiral Computed Tomography in the diagnosis and differential diagnosis of extrahepatic obstructive jaundice. Methods: A retrospective analysis was performed on 78 cases of extrahepatic obstructive jaundice confirmed by surgery and clinical analysis. All cases were divided into two groups according to benign and malignant, 41 in benign and 37 in malignant. Twenty of them performed enhanced scanning, and image post-processing was performed. We observe the quantitative and qualitative indicators of CT: the inner diameter of the common bile duct, the extent of intrahepatic bile duct dilation, the length of the obstruction site from the hilar region; the presence or absence of stones, the location of the mass and the mass, the relationship between the mass and the common bile duct, and the degree of mass enhancement. Results: All cases clearly showed the obstruction site, and the difference between the obstruction site and the hepatic hilar length was significant between the benign and malignant groups (P < 0.01); while in the malignant group, there was also a statistical difference between cholangiocarcinoma and pancreatic head cancer and ampulla (P < 0.05). There was no significant difference in the common bile duct inner diameter among the groups (P > 0.05). Conclusions: Multi-slice spiral CT is more accurate in distinguishing the location, etiology, and malignancy of extrahepatic obstructive jaundice. It is of great value in the diagnosis and differential diagnosis of extrahepatic obstructive jaundice.


2019 ◽  
Vol 52 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Tiago Medina Salata ◽  
Bruno Niemeyer de Freitas Ribeiro ◽  
Bernardo Carvalho Muniz ◽  
Lívia de Oliveira Antunes ◽  
Heraldo Belmont Rosas ◽  
...  

Abstract Hearing disorders are usually unilateral and are more common in women. They can be congenital or acquired, and hearing loss is categorized as sensorineural, conductive, or mixed. The onset of hearing loss can be progressive or sudden, and it is a common reason for seeking medical attention. In this context, computed tomography and magnetic resonance imaging have assumed critical roles in the search for an etiological diagnosis and in guiding the therapeutic approach. In this pictorial essay, we illustrate the common causes of hearing loss, discussing the possible differential diagnoses and highlighting the most relevant imaging findings.


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