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MR characteristics of acute cholangitis

Hakansson, K; Ekberg, Olle LU ; Hakansson, HO and Leander, Peter LU (2002) In Acta Radiologica 43(2). p.175-179
Abstract
Purpose: To describe the MR appearance of acute cholangitis and discuss the role of MR imaging as a diagnostic method in this disease. Material and Methods: Of 60 patients with clinical acute cholangitis, 12 were examined with MR before endoscopic retrograde pancreatography (ERCP). A retrospective review was performed of MR and ERCP findings. The MR findings registered were presence of biliary duct dilatation, intraluminal filling defects due to stones or sludge, bands of mucosal oedema of the biliary ducts, intra- and retroperitoneal oedema/fluid, and definition of the cause of obstruction, e.g. stones, stenosis or tumour was made. Results: Acute cholangitis was related to obstruction from choledocholithiasis (n = 8), pancreatic cancer (n... (More)
Purpose: To describe the MR appearance of acute cholangitis and discuss the role of MR imaging as a diagnostic method in this disease. Material and Methods: Of 60 patients with clinical acute cholangitis, 12 were examined with MR before endoscopic retrograde pancreatography (ERCP). A retrospective review was performed of MR and ERCP findings. The MR findings registered were presence of biliary duct dilatation, intraluminal filling defects due to stones or sludge, bands of mucosal oedema of the biliary ducts, intra- and retroperitoneal oedema/fluid, and definition of the cause of obstruction, e.g. stones, stenosis or tumour was made. Results: Acute cholangitis was related to obstruction from choledocholithiasis (n = 8), pancreatic cancer (n = 1), benign biliary duct stricture (n = 1), papillary stenosis (n = 1) and without evidence of an obstructing cause (n = 1). One patient had an acute obstructive suppurative (toxic) cholangitis. Conclusion: MR imaging has a role in the non-invasive radiographic arsenal of techniques to confirm or exclude the diagnosis of acute cholangitis, especially in older patients where the clinical symptoms may be vague. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
retrograde cholangiopancreatography, MR cholangiopancreatography, MR imaging, acute cholangitis, endoscopic
in
Acta Radiologica
volume
43
issue
2
pages
175 - 179
publisher
John Wiley & Sons
external identifiers
  • wos:000175839200014
  • scopus:0347015074
ISSN
1600-0455
DOI
10.1034/j.1600-0455.2002.430215.x
language
English
LU publication?
yes
id
00b2d1de-0e95-463d-b6d2-53d762aa119c (old id 337327)
date added to LUP
2007-08-23 09:04:54
date last changed
2017-05-21 04:14:30
@article{00b2d1de-0e95-463d-b6d2-53d762aa119c,
  abstract     = {Purpose: To describe the MR appearance of acute cholangitis and discuss the role of MR imaging as a diagnostic method in this disease. Material and Methods: Of 60 patients with clinical acute cholangitis, 12 were examined with MR before endoscopic retrograde pancreatography (ERCP). A retrospective review was performed of MR and ERCP findings. The MR findings registered were presence of biliary duct dilatation, intraluminal filling defects due to stones or sludge, bands of mucosal oedema of the biliary ducts, intra- and retroperitoneal oedema/fluid, and definition of the cause of obstruction, e.g. stones, stenosis or tumour was made. Results: Acute cholangitis was related to obstruction from choledocholithiasis (n = 8), pancreatic cancer (n = 1), benign biliary duct stricture (n = 1), papillary stenosis (n = 1) and without evidence of an obstructing cause (n = 1). One patient had an acute obstructive suppurative (toxic) cholangitis. Conclusion: MR imaging has a role in the non-invasive radiographic arsenal of techniques to confirm or exclude the diagnosis of acute cholangitis, especially in older patients where the clinical symptoms may be vague.},
  author       = {Hakansson, K and Ekberg, Olle and Hakansson, HO and Leander, Peter},
  issn         = {1600-0455},
  keyword      = {retrograde cholangiopancreatography,MR cholangiopancreatography,MR imaging,acute cholangitis,endoscopic},
  language     = {eng},
  number       = {2},
  pages        = {175--179},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {MR characteristics of acute cholangitis},
  url          = {http://dx.doi.org/10.1034/j.1600-0455.2002.430215.x},
  volume       = {43},
  year         = {2002},
}