Unusual use of Gd-EOB-DTPA in MRCP in order to reveal the source of bile leakage in a patient with neuroendocrine tumor : case report

2016
journal article
article
dc.abstract.enBACKGROUND: MRCP is the method of choice in diagnosing pathologies of the biliary system. One of them is bile fistulae. They are uncommon but tend to cause many diagnostic problems. The possible way to improve MRCP is using it with intravenous injection of hepatobiliary-specific contrast agents. As it is eliminated via the hepatobiliary system, it can be visualized in the bile ducts and may help to reveal disorders undetected by a standard MRCP. CASE REPORT: We report a case of a 36-year-old woman with leakage in the biliary system which led to creation of a subcutaneous bile reservoir. By means of a regular MRCP protocol it was impossible to reveal any disorders of the biliary system and thus a decision to inject Gd-EOB-DTPA was taken. As a result, a fistula with its opening in the fundus of the gall bladder was revealed. Patient was qualified for treatment with somatostatin analogues in order to stop bile secretion. CONCLUSIONS: The Gd-EOB-DTPA in combination with regular T2-weighted MRCP may be helpful in detecting anomalies of the biliary system. Although a high price of the procedure restricts its accessibility, such advantages as lower risk of complications, lower costs of hospitalization, and less traumatic nature make it a technique that may take precedence over ERCP in ambiguous cases.pl
dc.contributor.authorMazur, Rafałpl
dc.contributor.authorPawluś, Aleksanderpl
dc.contributor.authorSzymańska, Kingapl
dc.contributor.authorPatyk, Mateuszpl
dc.contributor.authorOtlewska, Annapl
dc.contributor.authorMiędzybrodzki, Krzysztofpl
dc.contributor.authorSokołowska-Dąbek, Dąbrówkapl
dc.contributor.authorKubicka, Elizapl
dc.contributor.authorZaleska-Dorobisz, Urszulapl
dc.date.accessioned2017-05-10T09:15:32Z
dc.date.available2017-05-10T09:15:32Z
dc.date.issued2016pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 539pl
dc.description.physical536-539pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume81pl
dc.identifier.doi10.12659/PJR.898781pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/40357
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enbiliary fistulapl
dc.subject.encholangiopancreatographypl
dc.subject.enmagnetic resonancepl
dc.subject.engadolinium dtpapl
dc.subtypeArticlepl
dc.titleUnusual use of Gd-EOB-DTPA in MRCP in order to reveal the source of bile leakage in a patient with neuroendocrine tumor : case reportpl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
BACKGROUND: MRCP is the method of choice in diagnosing pathologies of the biliary system. One of them is bile fistulae. They are uncommon but tend to cause many diagnostic problems. The possible way to improve MRCP is using it with intravenous injection of hepatobiliary-specific contrast agents. As it is eliminated via the hepatobiliary system, it can be visualized in the bile ducts and may help to reveal disorders undetected by a standard MRCP. CASE REPORT: We report a case of a 36-year-old woman with leakage in the biliary system which led to creation of a subcutaneous bile reservoir. By means of a regular MRCP protocol it was impossible to reveal any disorders of the biliary system and thus a decision to inject Gd-EOB-DTPA was taken. As a result, a fistula with its opening in the fundus of the gall bladder was revealed. Patient was qualified for treatment with somatostatin analogues in order to stop bile secretion. CONCLUSIONS: The Gd-EOB-DTPA in combination with regular T2-weighted MRCP may be helpful in detecting anomalies of the biliary system. Although a high price of the procedure restricts its accessibility, such advantages as lower risk of complications, lower costs of hospitalization, and less traumatic nature make it a technique that may take precedence over ERCP in ambiguous cases.
dc.contributor.authorpl
Mazur, Rafał
dc.contributor.authorpl
Pawluś, Aleksander
dc.contributor.authorpl
Szymańska, Kinga
dc.contributor.authorpl
Patyk, Mateusz
dc.contributor.authorpl
Otlewska, Anna
dc.contributor.authorpl
Międzybrodzki, Krzysztof
dc.contributor.authorpl
Sokołowska-Dąbek, Dąbrówka
dc.contributor.authorpl
Kubicka, Eliza
dc.contributor.authorpl
Zaleska-Dorobisz, Urszula
dc.date.accessioned
2017-05-10T09:15:32Z
dc.date.available
2017-05-10T09:15:32Z
dc.date.issuedpl
2016
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 539
dc.description.physicalpl
536-539
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
81
dc.identifier.doipl
10.12659/PJR.898781
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/40357
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
biliary fistula
dc.subject.enpl
cholangiopancreatography
dc.subject.enpl
magnetic resonance
dc.subject.enpl
gadolinium dtpa
dc.subtypepl
Article
dc.titlepl
Unusual use of Gd-EOB-DTPA in MRCP in order to reveal the source of bile leakage in a patient with neuroendocrine tumor : case report
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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