Biliary tract iatrogenic lesions – importance of selected imaging precision

Congress:

ECR 2022

Poster Number:

C-22213

Type:

Scientific Exhibit

Keywords:

Abdomen, CT, Fluoroscopy, MR-Cholangiography, Cholangiography, Complications, Diagnostic procedure, Acute

Authors:

N. M. Popova, I. Miklaseviča, S. Lapsa, A. Ozolins, A. Buss, M. Radzina

DOI:

10.26044/ecr2022/C-22213

DOI-Link:

https://dx.doi.org/10.26044/ecr2022/C-22213

References

[1] Lau, Wan Yee, Eric C. H. Lai, and Stephanie H. Y. Lau. 2010. “Management of Bile Duct Injury after Laparoscopic Cholecystectomy: A Review.” ANZ Journal of Surgery 80 (1–2): 75–81. https://doi.org/10.1111/j.1445-2197.2009.05205.x.

[2] Mungai, Francesco, Valentina Berti, and Stefano Colagrande. 2013. “Bile Leak after Elective Laparoscopic Cholecystectomy: Role of MR Imaging.” Journal of Radiology Case Reports 7 (1): 25–32. https://doi.org/10.3941/jrcr.v7i1.1261.

[3] Khalid, Tahir R., V. Javier Casillas, Berta M. Montalvo, Raul Centeno, and Joe U. Levi. 2001. “Using MR Cholangiopancreatography to Evaluate Iatrogenic Bile Duct Injury.” American Journal of Roentgenology 177 (6): 1347–52. https://doi.org/10.2214/ajr.177.6.1771347.

[4] Sureka, Binit, and Amar Mukund. 2017. “Review of Imaging in Post-Laparoscopy Cholecystectomy Complications.” The Indian Journal of Radiology & Imaging 27 (4): 470–81. https://doi.org/10.4103/ijri.IJRI_489_16.

[5] Linhares, Bruno Lima, Aline da Graça Magalhães, Paula Mariana Soares Cardoso, Jaime Paula Pessoa Linhares Filho, José Eudes Bastos Pinho, and Marcelo Leite Vieira Costa. 2011. “Bile Duct Injury Following Cholecystectomy.” Revista Do Colegio Brasileiro De Cirurgioes 38 (2): 95–99.

[6] Krishnavel V Chathadi, Mouen A Khashab, Ruben D Acosta, Vinay Chandrasekhara, Mohamad A Eloubeidi, Ashley L Faulx, Lisa Fonkalsrud, Jenifer R Lightdale, John R Salztman, Aasma Shaukat, Amy Wang, Brooks D Cash, John M DeWitt. 2015. "The role of endoscopy in ampullary and duodenal adenomas". Gastrointestinal Endoscopy journal 2015 Nov;82(5):773-81. doi: 10.1016/j.gie.2015.06.027.

[7] Lindemann, Jessica, Christo Kloppers, Sean Burmeister, Marc Bernon, and Eduard Jonas. 2019. “Mind the Gap! Extraluminal Percutaneous-Endoscopic Rendezvous with a Self-Expanding Metal Stent for Restoring Continuity in Major Bile Duct Injury: A Case Series.” International Journal of Surgery Case Reports 60: 340–44. https://doi.org/10.1016/j.ijscr.2019.06.059.

[8] Angelis, Nicola de’, Fausto Catena, Riccardo Memeo, Federico Coccolini, Aleix Martínez-Pérez, Oreste M. Romeo, Belinda De Simone, et al. 2021. “2020 WSES Guidelines for the Detection and Management of Bile Duct Injury during Cholecystectomy.” World Journal of Emergency Surgery 16 (1): 30. https://doi.org/10.1186/s13017-021-00369-w.

Fig 1: Img 1. Strasberg classification of bile duct injuries

Fig 2: Tab 1. Sensitivity, specificity, PPV, NPV, and accuracy of imaging methods for...

Fig 3: Tab 2. Sensitivity, specificity, PPV, NPV, and accuracy of imaging methods for...

Fig 4: Img 2. The US of the abdomen with visualized fluid collection at the epigastric...

Fig 5: Img 3.The CT of the abdomen. Condition after cholecystectomy. Separated fluid...

Fig 6: Img 4. MRCP T2-SPACE with MIP reconstruction. Condition after cholecystectomy....

Fig 7: Img 5. ERCP. Condition after cholecystectomy. Contrast leakage from the bile...

Fig 8: Img 6. Condition after cholecystectomy. Marked intrahepatic cholestasis. A...

Fig 9: Img 7. An 8.5 Fr plastic (endoscopic) stent was implanted through the structure...