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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(01): 22-32
DOI: 10.4103/0971-3026.178283
Abdomen

Magnetic resonance cholangiographic evaluation of intrahepatic and extrahepatic bile duct variations

Binit Sureka
Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Kalpana Bansal
Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Yashwant Patidar
Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Ankur Arora
Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Biliary anatomy and its common and uncommon variations are of considerable clinical significance when performing living donor transplantation, radiological interventions in hepatobiliary system, laparoscopic cholecystectomy, and liver resection (hepatectomy, segmentectomy). Because of increasing trend found in the number of liver transplant surgeries being performed, magnetic resonance cholangiopancreatography (MRCP) has become the modality of choice for noninvasive evaluation of abnormalities of the biliary tract. The purpose of this study is to describe the anatomic variations of the intrahepatic and extrahepatic biliary tree.

Keywords

Aberrant - accessory - anatomy - biliary - variations


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Gupta RT, Brady CM, Lotz J, Boll DT, Merkle EM. Dynamic MR imaging of the biliary system using hepatocyte-specific contrast agents. AJR Am J Roentgenol 2010;195:405-13.
  • 2 Seale MK, Catalano OA, Saini S, Hahn PF, Sahani DV. Hepatobiliary-specific MR contrast agents: Role in imaging the liver and biliary tree. Radiographics 2009;29:1725-48.
  • 3 Mortelé KJ, Ros PR. Anatomic variants of the biliary tree: MR cholangiographic findings and clinical applications. AJR Am J Roentgenol 2001;177:389-94.
  • 4 Couinaud C. Le foie: Etudes anatomiques et chirurgicales. Paris: Masson and Cie; 1957:530. p.  530.
  • 5 Gazelle GS, Lee MJ, Mueller PR. Cholangiographic segmental anatomy of the liver. Radiographics 1994;14:1005-13.
  • 6 Choi JW, Kim TK, Kim KW, Kim AY, Kim PN, Ha HK, et al. Anatomic variation in intrahepatic bile ducts: An analysis of intraoperative cholangiograms in 300 consecutive donors for living donor liver transplantation. Korean J Radiol 2003;4:85-90.
  • 7 Ragab A, Lopez-Soler RI, Oto A, Testa G. Correlation between 3D-MRCP and intra-operative findings in right liver donors. Hepatobiliary Surg Nutr 2013;2:7-13.
  • 8 Kitami M, Takase K, Murakami G, Ko S, Tsuboi M, Saito H, et al. Types and frequencies of biliary tract variations associated with a major portal venous anomaly: Analysis with multi-detector row CT cholangiography. Radiology 2006;238:156-66.
  • 9 Benson EA, Page RE. A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries. Br J Surg 1976;63:853-60.
  • 10 Hyodo T, Kumano S, Kushihata F, Okada M, Hirata M, Tsuda T, et al. CT and MR cholangiography: Advantages and pitfalls in perioperative evaluation of biliary tree. Br J Radiol 2012;85:887-96.
  • 11 Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature. World J Radiol 2012;4:413-7.
  • 12 Minutoli F, Naso S, Visalli C, Iannelli D, Silipigni S, Pitrone A, et al. A new variant of cholecystohepatic duct: MR cholangiography demonstration. Surg Radiol Anat 2014. [Epub ahead of print].
  • 13 Wu YH, Liu ZS, Mrikhi R, Ai ZL, Sun Q, Bangoura G, et al. Anatomical variations of the cystic duct: Two case reports. World J Gastroenterol 2008;14:155-7.
  • 14 Chung YE, Kim MJ, Park YN, Lee YH, Choi JY. Staging of extrahepatic cholangiocarcinoma. Eur Radiol 2008;18:2182-95.
  • 15 Friedewald SM, Molmenti EP, DeJong MR, Hamper UM. Vascular and nonvascular complications of liver transplants: Sonographic evaluation and correlation with other imaging modalities and findings at surgery and pathology. Ultrasound Q 2003;19:71-85.
  • 16 Singh AK, Nachiappan AC, Verma HA, Uppot RN, Blake MA, Saini S, et al. Postoperative imaging in liver transplantation: What radiologists should know. Radiographics 2010;30:339-51.
  • 17 Turner MA, Fulcher AS. The cystic duct: Normal anatomy and disease processes. Radiographics 2001;21:3-22.
  • 18 Elakkary E, Ching K, Jacobs MJ. Spiral cystic duct: Beware. JSLS 2006;10:514-6.
  • 19 Mariolis-Sapsakos T, Kalles V, Papatheodorou K, Goutas N, Papapanagiotou I, Flessas I, et al. Anatomic variations of the right hepatic duct: Results and surgical implications from a cadaveric study. Anat Res Int 2012;2012:838179.