Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy (253 views)
Emergency Radiology (ISSN: 1070-3004), 2007 Nov; 14(6): 443-447.
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Paper type: Journal Article,
Impact factor: 6.214, 5-year impact factor: 6.723
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-36049041009&partnerID=40&md5=60ad7944a483cd4c012047e9ca090102
Keywords: Hepatectomy, Laparoscopic Cholecystectomy, Gadolinium Pentetate Meglumine, Adult, Artery Injury, Artery Occlusion, Article, Bile Duct Dilatation, Bile Duct Injury, Bile Duct Obstruction, Case Report, Conservative Treatment, Excision, Female, Hepatic Artery, Hepatojejunostomy, Human, Intensive Care, Liver Resection, Magnetic Resonance Angiography, Magnetic Resonance Cholangiopancreatography, Postoperative Complication, Priority Journal, Treatment Planning, Vein Injury, Contrast Media, Fatal Outcome, Magnetic Resonance Imaging, Portal Vein,
Affiliations:
*** IBB - CNR ***
Departments of Radiology, Cardarelli Hospital, University Federico II, Via Pansini 5, Napoli, Italy
References:
Not available.
Emergency Radiology (ISSN: 1070-3004), 2007 Nov; 14(6): 443-447.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 6.214, 5-year impact factor: 6.723
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-36049041009&partnerID=40&md5=60ad7944a483cd4c012047e9ca090102
Keywords: Hepatectomy, Laparoscopic Cholecystectomy, Gadolinium Pentetate Meglumine, Adult, Artery Injury, Artery Occlusion, Article, Bile Duct Dilatation, Bile Duct Injury, Bile Duct Obstruction, Case Report, Conservative Treatment, Excision, Female, Hepatic Artery, Hepatojejunostomy, Human, Intensive Care, Liver Resection, Magnetic Resonance Angiography, Magnetic Resonance Cholangiopancreatography, Postoperative Complication, Priority Journal, Treatment Planning, Vein Injury, Contrast Media, Fatal Outcome, Magnetic Resonance Imaging, Portal Vein,
Affiliations:
*** IBB - CNR ***
Departments of Radiology, Cardarelli Hospital, University Federico II, Via Pansini 5, Napoli, Italy
References:
Not available.
Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy
The aim of this study was to describe three cases of major vascular injuries after laparoscopic cholecystectomy depicted on magnetic resonance (MR) examination. Three female patients (mean age, 32 years; range, 22-39 years) were studied with clinical suspicion of bilio-vascular injuries after laparoscopic cholecystectomy. All MR examinations were performed within 24 h after the laparoscopic procedure. MR imaging was evaluated for major vascular injuries involving the arterial and portal venous system, for bile duct discontinuity, presence or absence of biliary dilation, stricture, excision injury, free fluid and collections. In the first patient, a type-IV Bismuth injury with associated intrahepatic bile ducts dilation was observed. Contrast-enhanced MR revealed lack of enhancement in the right hepatic lobe due to occlusion of the right hepatic artery and the right portal branch. This patient underwent right hepatectomy with hepatico-jejunostomy. In the other two cases, no visualization of the right hepatic artery and the right portal branch was observed on MR angiography. In the first case, the patient underwent right hepatectomy; in the second case, because of stable liver condition, the patient was managed conservatively. MR imaging combined with MR angiography and MR cholangiography can be performed emergently in patients with suspicion of bilio-vascular injury after laparoscopic cholecystectomy allowing the simultaneous evaluation of the biliary tree and the hepatic vascular supply that is essential for adequate treatment planning.
The aim of this study was to describe three cases of major vascular injuries after laparoscopic cholecystectomy depicted on magnetic resonance (MR) examination. Three female patients (mean age, 32 years; range, 22-39 years) were studied with clinical suspicion of bilio-vascular injuries after laparoscopic cholecystectomy. All MR examinations were performed within 24 h after the laparoscopic procedure. MR imaging was evaluated for major vascular injuries involving the arterial and portal venous system, for bile duct discontinuity, presence or absence of biliary dilation, stricture, excision injury, free fluid and collections. In the first patient, a type-IV Bismuth injury with associated intrahepatic bile ducts dilation was observed. Contrast-enhanced MR revealed lack of enhancement in the right hepatic lobe due to occlusion of the right hepatic artery and the right portal branch. This patient underwent right hepatectomy with hepatico-jejunostomy. In the other two cases, no visualization of the right hepatic artery and the right portal branch was observed on MR angiography. In the first case, the patient underwent right hepatectomy; in the second case, because of stable liver condition, the patient was managed conservatively. MR imaging combined with MR angiography and MR cholangiography can be performed emergently in patients with suspicion of bilio-vascular injury after laparoscopic cholecystectomy allowing the simultaneous evaluation of the biliary tree and the hepatic vascular supply that is essential for adequate treatment planning.
Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy
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Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy
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8 Records (8 excluding Abstracts).
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Total 5 year impact factor: 29.165 (29.165 excluding Abstracts).
Total impact factor: 27.992 (27.992 excluding Abstracts).
Total 5 year impact factor: 29.165 (29.165 excluding Abstracts).
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