MR cholangiopancreatography findings in children with spontaneous bile duct perforation

MiJung Lee, Myung Joon Kim, Choon Sik Yoon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background Spontaneous bile duct perforation (SBP) is rare in children. Early diagnosis is important because the condition can be treated surgically. Objective The purpose of this study is to report MR cholangiopancreatography (MRCP) findings of SBP and to evaluate the usefulness of MRCP. Materials and methods Over the last 10 years, three children (1 boy, 2 girls; ages 3, 4 and 15 months) underwent US, MRCP and hepatobiliary scintigraphy preoperatively and were surgically confirmed to have extrahepatic bile duct perforation. Results US showed ascites in all children and a choledochal cyst in one. On MRCP, a moderate-to-large volume of ascites was seen in addition to a loculated fluid collection at the porta hepatis. MRCP also depicted the low insertion of the cystic duct and choledochal cyst in each case. Hepatobiliary scintigraphy showed bile leak from the region of the porta hepatis extending to the whole abdomen. According to the surgical findings, the perforation site was around the junction of the cystic duct and the common hepatic duct in all children. Conclusion In children with SBP, MRCP can depict the loculated fluid collection adjacent to the perforation site and associated bile duct anomalies.

Original languageEnglish
Pages (from-to)687-692
Number of pages6
JournalPediatric Radiology
Volume40
Issue number5
DOIs
Publication statusPublished - 2010 May 1

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Bile Ducts
Choledochal Cyst
Cystic Duct
Ascites
Radionuclide Imaging
Extrahepatic Bile Ducts
Common Hepatic Duct
Bile
Abdomen
Early Diagnosis

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

Cite this

Lee, MiJung ; Kim, Myung Joon ; Yoon, Choon Sik. / MR cholangiopancreatography findings in children with spontaneous bile duct perforation. In: Pediatric Radiology. 2010 ; Vol. 40, No. 5. pp. 687-692.
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MR cholangiopancreatography findings in children with spontaneous bile duct perforation. / Lee, MiJung; Kim, Myung Joon; Yoon, Choon Sik.

In: Pediatric Radiology, Vol. 40, No. 5, 01.05.2010, p. 687-692.

Research output: Contribution to journalArticle

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N2 - Background Spontaneous bile duct perforation (SBP) is rare in children. Early diagnosis is important because the condition can be treated surgically. Objective The purpose of this study is to report MR cholangiopancreatography (MRCP) findings of SBP and to evaluate the usefulness of MRCP. Materials and methods Over the last 10 years, three children (1 boy, 2 girls; ages 3, 4 and 15 months) underwent US, MRCP and hepatobiliary scintigraphy preoperatively and were surgically confirmed to have extrahepatic bile duct perforation. Results US showed ascites in all children and a choledochal cyst in one. On MRCP, a moderate-to-large volume of ascites was seen in addition to a loculated fluid collection at the porta hepatis. MRCP also depicted the low insertion of the cystic duct and choledochal cyst in each case. Hepatobiliary scintigraphy showed bile leak from the region of the porta hepatis extending to the whole abdomen. According to the surgical findings, the perforation site was around the junction of the cystic duct and the common hepatic duct in all children. Conclusion In children with SBP, MRCP can depict the loculated fluid collection adjacent to the perforation site and associated bile duct anomalies.

AB - Background Spontaneous bile duct perforation (SBP) is rare in children. Early diagnosis is important because the condition can be treated surgically. Objective The purpose of this study is to report MR cholangiopancreatography (MRCP) findings of SBP and to evaluate the usefulness of MRCP. Materials and methods Over the last 10 years, three children (1 boy, 2 girls; ages 3, 4 and 15 months) underwent US, MRCP and hepatobiliary scintigraphy preoperatively and were surgically confirmed to have extrahepatic bile duct perforation. Results US showed ascites in all children and a choledochal cyst in one. On MRCP, a moderate-to-large volume of ascites was seen in addition to a loculated fluid collection at the porta hepatis. MRCP also depicted the low insertion of the cystic duct and choledochal cyst in each case. Hepatobiliary scintigraphy showed bile leak from the region of the porta hepatis extending to the whole abdomen. According to the surgical findings, the perforation site was around the junction of the cystic duct and the common hepatic duct in all children. Conclusion In children with SBP, MRCP can depict the loculated fluid collection adjacent to the perforation site and associated bile duct anomalies.

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