Magnetic Resonance Cholangio-Pancreatography in Patients with Acute Cholecystitis and Cholestatic Liver Pattern - What to Expect?.

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dc.contributor.authorOrf, Ali Alen_US
dc.contributor.authorWaheed, Khawaja Bilalen_US
dc.contributor.authorAlshehri, Ali Salmanen_US
dc.contributor.authorAlgarni, Mushref Alien_US
dc.contributor.authorAltaf, Bilalen_US
dc.contributor.authorAmjad, Muhammaden_US
dc.contributor.authorAlhumaid, Ayman Abdullahen_US
dc.contributor.authorArulanantham, Zechariah Jebakumaren_US
dc.date.accessioned2020-11-18T10:18:34Z
dc.date.available2020-11-18T10:18:34Z
dc.date.issued2020-08
dc.description.abstractAcute cholecystitis is a potentially serious condition and usually needs to be treated in the hospital. Identification of a common bile duct (CBD) stone before cholecystectomy is of concern for the treating physicians as management may change. Magnetic Resonance Cholangiopancreatography (MRCP) can help in identifying causes of biliary obstruction (if present) and adequately delineate biliary tree in selected patients with limited or abnormal ultrasounds and cholestatic liver pattern. Therefore, we aim to demonstrate imaging findings of MRCP in such patients of acute cholecystitis, and highlight the diagnostic ability of MRCP in biliary ductal evaluation as well. METHODSThis secondary data analysis from hospital records was performed in Radiology department at our Hospital in Dhahran from August 2017 to 2019. All clinically suspected and ultrasound supported cases of acute cholecystitis who were referred for MRCP studies were included. Dilated CBDs (more than 4 mm in caliber) with partial visualization or non-discernible causes of CBD dilatations, rising or persistently raised LFTs (denoting cholestatic pattern) were the common indications for the MRCP referrals. Patients with chronic cholecystitis, previous hepatobiliary surgery, pregnant patients, and those contraindicated to MRI were excluded. RESULTSOf the 104 patients, majority (60%) were females. The mean age was 43 years. Two-thirds of patients were having normal CBDs (68.3%), while nearly one-third (31.7%) had dilated CBDs, and half of these (16.4%) showed identifiable causes of obstruction that were later confirmed on ERCP and histopathology. Thirteen patients (12.5%) had associated anomalies. Sensitivity and specificity of MRCP in CBD evaluation were measured as 90.5% (CI, 79.3-96.8) and 86.2% (CI, 73.7-94.3) respectively. The length of the hospital stay was found to be significantly less in laparoscopic cases compared to open cholecystectomies (P= 0.0005). CONCLUSIONSMagnetic resonance cholangiopancreatography can help in identifying the causes and anomalies in patients with acute cholecystitis having deranged or obstructive liver function.en_US
dc.identifier.affiliationsDepartment of Radiology, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of Radiology, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of Radiology, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of Radiology, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of General Surgery, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of Internal Medicine, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsDepartment of Radiology, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.en_US
dc.identifier.affiliationsPrince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia.en_US
dc.identifier.citationOrf Ali Al, Waheed Khawaja Bilal, Alshehri Ali Salman, Algarni Mushref Ali, Altaf Bilal, Amjad Muhammad, Alhumaid Ayman Abdullah, Arulanantham Zechariah Jebakumar. Magnetic Resonance Cholangio-Pancreatography in Patients with Acute Cholecystitis and Cholestatic Liver Pattern - What to Expect?.. Journal of Evolution of Medical and Dental Sciences. 2020 Aug; 9(34): 2436-2441en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/215113
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber34en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/530en_US
dc.subjectCholecystitisen_US
dc.subjectCommon Bile Ducten_US
dc.subjectMagnetic Resonance Cholangiopancreatographyen_US
dc.titleMagnetic Resonance Cholangio-Pancreatography in Patients with Acute Cholecystitis and Cholestatic Liver Pattern - What to Expect?.en_US
dc.typeJournal Articleen_US
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