Ribeiro Bruno Jucá, Alves Aldo Maurici Araújo, de Oliveira Rafael Santiago, Velloni Fernanda, D'Ippolito Giuseppe
Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.
Radiol Bras. 2019 Nov-Dec;52(6):403-407. doi: 10.1590/0100-3984.2018.0089.
Iatrogenic lesion of the bile ducts is a relatively common occurrence during liver surgery, increasing morbidity and mortality rates. T2-weighted magnetic resonance cholangiography and gadoxetic acid-enhanced functional magnetic resonance cholangiography (fMRC) with administration of hepatobiliary-specific contrast medium (gadoxetic acid) are fundamental to the diagnostic imaging approach in patients with such lesions. Here, we present a review of the literature and suggest an imaging approach to biliary tract injury, focusing on clinical cases in which fMRC had an impact on the decision-making process for the management of the affected patients.
医源性胆管损伤在肝脏手术中较为常见，会增加发病率和死亡率。T2加权磁共振胆管造影以及使用肝胆特异性造影剂（钆塞酸）的钆塞酸增强功能磁共振胆管造影（fMRC）是此类损伤患者诊断性成像方法的基础。在此，我们对文献进行综述，并提出一种针对胆道损伤的成像方法，重点关注fMRC对受影响患者管理决策过程产生影响的临床病例。
