Choledocholithiasis: MRCP

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Cholecystectomy, abdominal pain and mild jaundice.

Patient Data

Age: 65
Gender: Female
MRI

MRCP

The CBD is dilated (16mm) with multiple signal void filling defects identified at its mid and lower portions, the largest one (13mm). This is associated with mild intrahepatic biliary dilatation. Also noted cystic duct stump two stones, measuring about 5 mm in average diameter. The pancreatic duct is not dilated. (Multiple CBD stones and cystic duct stump stones, coupled with mild intra-hepatic biliary back pressure changes).

Case Discussion

MRCP (MRI cholangiography) is non-invasive MRI study of the biliary tracts. It has largely replaced ERCP as the gold standard for diagnosis of choledocholithiasis. It has the advantages of having no ionising radiation, no intravenous contrast or complication rate inherent in ERCPs. 3D reconstruction of heavy T2 sequence gives easy examination of biliary system from different views.

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Case information

rID: 52866
Case created: 23rd Apr 2017
Last edited: 25th Apr 2017
Inclusion in quiz mode: Included

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