Presentation
Previously noted abdominal pain, spastic nature. Terminal ileitis was detected. MRI is intended for follow-up.Previously noted abdominal pain, spastic nature. Terminal ileitis was detected. MRI is intended for follow-up.
Patient Data
The segmental dilatation of the lumen of the intrahepatic bile ducts of the SVI \ SVII of the right lobe of the liver, due to the obstruction by the soft tissue components, is distinguished from the level of their confluence into the right main branch. The detected components are mainly propagated internally through the SVII duct, in the form of "papillary" lesions that subtotally \ completely fill the lumen of the ducts. Papillary lesions of the ducts, which are minimally enhanced in the venous \ delay phase and are characterized by a high signal on the DWI with averaged diffusion coefficient.
Radiological findings confirmed intoperatively.
Case Discussion
The MR image is characteristic of intraductal papillary mucinous tumor of bile duct (IPMN-B). The diagnosis was confirmed during surgery.