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MRI evaluation of bile duct injuries and other post-cholecystectomy complications

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Abstract

Laparoscopic cholecystectomy is one of the most common procedures performed each year and can be associated with various post-operative complications. Imaging is integral to diagnosis and management of patients with suspected cholecystectomy complications, and a thorough understanding of normal and abnormal biliary anatomy, risk factors for biliary injury, and the spectrum of adverse events is crucial for interpretation of imaging studies. Magnetic resonance cholangiography (MRC) enhanced with hepatobiliary contrast agent is useful in delineating biliary anatomy and pathology following cholecystectomy. In this article, we provide a protocol for contrast-enhanced MR imaging of the biliary tree. We also review the classification and imaging manifestations of post-cholecystectomy bile duct injuries in addition to other complications such as bilomas, retained/dropped gallstones, and vascular injuries.

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Authors and Affiliations

  1. Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA

    Shilpa Reddy, Camila Lopes Vendrami, Amir A. Borhani & Frank H. Miller

  2. Department of Radiology, Medical College of Georgia, Augusta, GA, 30912, USA

    Pardeep Mittal

  3. Department of Radiology & Imaging Sciences, Emory University School of Medicine, Atlanta, GA, 30322, USA

    Courtney C. Moreno

  4. Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N. St. Clair St. Suite 800, Chicago, IL, 60611, USA

    Frank H. Miller

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  1. Shilpa Reddy
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Reddy, S., Lopes Vendrami, C., Mittal, P. et al. MRI evaluation of bile duct injuries and other post-cholecystectomy complications. Abdom Radiol 46, 3086–3104 (2021). https://doi.org/10.1007/s00261-020-02947-z

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