Mungai Francesco, Berti Valentina, Colagrande Stefano
Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n 2, University of Florence - Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
J Radiol Case Rep. 2013 Jan;7(1):25-32. doi: 10.3941/jrcr.v7i1.1261. Epub 2013 Jan 1.
Increasing hepatobiliary laparoscopic surgeries have lead to a rise in injury to the biliary tree and other complications like bile leak. Ultrasonography (US) and computed tomography (CT) cannot reliably distinguish bile from other postoperative fluid collections. Magnetic resonance (MR) imaging with hepatobiliary agents and MR cholangiopancreatography provide anatomic and functional information that allows for prompt diagnosis and excludes any other concomitant complications. We report a case of post-cholecystectomy bile leak in a 42-year-old female who presented with persistent dull abdominal pain after the intervention; we emphasize the role of MR imaging in achieving the correct diagnosis.
越来越多的肝胆腹腔镜手术导致胆管损伤及胆漏等其他并发症增多。超声检查（US）和计算机断层扫描（CT）无法可靠地区分胆汁与其他术后液体积聚。使用肝胆造影剂的磁共振（MR）成像及磁共振胰胆管造影可提供解剖和功能信息，有助于迅速诊断并排除任何其他伴随的并发症。我们报告了一例42岁女性胆囊切除术后胆漏的病例，该患者在干预后出现持续性腹部隐痛；我们强调了MR成像在做出正确诊断方面的作用。
