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Role of Magnetic Resonance Cholangiopancreatography in the Diagnosis of Cystic Transformation Hepaticocholedoch and Possible Postoperative Complications (Clinical Case)

https://doi.org/10.52560/2713-0118-2022-3-74-82

Abstract

The article presents a description of a clinical case in a 7-year old child suffering occasional abdominal pain. An examination (3D magnetic resonance cholangiopancreatography) revealed a choledoch duct cyst type Iс. Surgical correction of congenital malformation of bile ducts was performed due to periodic attacks of pain, presence of concretions in the ducts, the possibility of malignification in the future and the development of possible complications. The clinical example demonstrates the high efficiency of MRCP for assessing anatomical and topographic relationships and concomitant structural anomalies that allow planning the tactics of surgical treatment. MRCP is important to use in the postoperative period to assess possible complications.

About the Authors

O. V. Lukovkina
Children’s State Hospital of St. Vladimir, Moscow of Healthcare Department
Russian Federation

Lukovkina Ol’ga Vyacheslavovna, Radiologist of the X-ray Department

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

Phone number: +7 (499) 268-22-65



N. A. Sholohova
Children’s State Hospital of St. Vladimir, Moscow of Healthcare Department; Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation

Sholokhova Nataliya Aleksandrovna, Ph. D. Med., Assistant Professor of Department of Radiology; the Head of Department of the Ultrasound Diagnostic

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

Phone number: +7 (495) 611-01-77



Yu. Yu. Sokolov
Children’s State Hospital of St. Vladimir, Moscow of Healthcare Department; Russian Medical Academy of Continuous Professional Education
Russian Federation

Sokolov Yuriy Yur’evich, Doctor of Medicine, Professor, Head of the Department of Pediatric 

2/1, ul. Barricadnaya, Moscow, 125993

Phone number: +7 (495) 680-05-99



T. V. Utkina
Russian Medical Academy of Continuous Professional Education
Russian Federation

Utkina Tatijana Vasilievna, Postgraduate at the Department of Pediatric Surgery

2/1, ul. Barricadnaya, Moscow, 125993

Phone number: +7 (495) 680-05-99



References

1. Razumovsky A. Yu., Mitupov Z. B., Kulikova N. V., Stepanenko N. S., Zadvernyuk A. S., Adler A. V., Shubin N. V. Reconstruction of bile ducts in choledochal malformation in children. Pediatric. Surgery. 2021. V. 25(1). P. 4–10. DOI: https://dx.doi.org/10.18821/1560-9510-2021-25-1-4-10 (in Russian).

2. Dillman J. R., Patel R. M., Lin T. K. et al. Diagnostic performance of magneticresonance cholangiopancreatography (MRCP) versus endoscopic retrograde cho langiopancreatography (ERCP) in the pediatric population: a clinical effectiveness study. Abdom. Radiol. 2019. V. 44. P. 2377–2383.

3. Onder H., Ozdemir M. S., Tekbas G., Ekici F., Gumus H., Bilici A. 3-T MRI of the biliary tract variations. Surg. Radiol. Anat. 2013. V. 35. P. 161–167.

4. Ringe K. I., Hartung D., von Falck C., Wacker F., Raatschen H. J. 3D-MRCP for evaluation of intra- and extrahepatic bile ducts: comparison of different acquisition and recon struction planes. BMC Med. Imaging. 2014. V. 14. P. 16.

5. Soares K. C., Kim Y., Spolverato G. Presentation and clinical outcomes of choledochal cysts in children and adults: a multi-institutional analysis. JAMA Surgery. 2015. V. 150. P. 577–584.

6. Sacher V. Y., Davis J. S., Sleeman D., Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: Case series and review. World J. Radiol. 2013. V. 5. P. 304–312.


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For citations:


Lukovkina O.V., Sholohova N.A., Sokolov Yu.Yu., Utkina T.V. Role of Magnetic Resonance Cholangiopancreatography in the Diagnosis of Cystic Transformation Hepaticocholedoch and Possible Postoperative Complications (Clinical Case). Radiology - Practice. 2022;(3):74-82. (In Russ.) https://doi.org/10.52560/2713-0118-2022-3-74-82

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ISSN 2713-0118 (Online)