Magnetic resonance cholangiography features of biliary abnormalities due to cavernous transformation of the portal vein

Clinical Imaging
Patrick ChevallierJean Noël Bruneton

Abstract

The aim of this retrospective and monocentric study was to describe the magnetic resonance cholangiography (MRC) features of biliary abnormalities related to extrahepatic obstruction of the portal vein (EHOPV). From September 2001 to May 2003, MRC was performed in 10 consecutive patients who had a portal thrombosis. Biliary ductal pathology was demonstrated via MRC in nine patients. It consisted of stenoses, ductal narrowing or irregularities involving the common bile duct for three patients with extrahepatic portal vein thrombosis discovered a mean of 1.5 years ago, or involving both right and left intrahepatic bile ducts and common bile duct for six patients with extrahepatic portal vein thrombosis discovered a mean of 16.2 years ago. Dilation of intrahepatic bile ducts was seen for seven patients, four of them having cholestasis. For three patients with symptomatic cholestasis, direct cholangiography (DC) was performed and showed the same findings as MRC which nevertheless overestimated the degree of bile duct stenosis. MRC seems to constitute an accurate tool to investigate noninvasively patients with portal biliopathy.

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Citations

Jun 18, 2011·Abdominal Imaging·Cecilia BesaFrancisco Cruz
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Radha K DhimanJang B Dilawari
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Naveen KalraNiranjan Khandelwal
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Malay Sharma, Chittapuram S Rameshbabu
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Manoj Kumar, Vivek A Saraswat
Jan 9, 2016·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Gyan Prakash RaiRupesh Pokharna
Jul 28, 2009·Gastrointestinal Endoscopy·Malay Sharma, Amit Pathak
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Jul 26, 2011·AJR. American Journal of Roentgenology·Alampady Krishna Prasad ShanbhogueMatthew McInnes
Oct 28, 2019·Journal of Hepato-biliary-pancreatic Sciences·Aathira RavindranathAnu Behari
Apr 5, 2013·World Journal of Hepatology·Vanessa SuárezRafael Claudino Botero
Sep 28, 2016·World Journal of Gastroenterology : WJG·Mohammad S KhurooMehnaaz S Khuroo

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