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Mazur R, Pawluś A, Szymańska K, et al. 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. Pol J Radiol. 2016;81:536-539doi: 10.12659/PJR.898781.
Mazur, R., Pawluś, A., Szymańska, K., Patyk, M., Otlewska, A., Międzybrodzki, K., Sokołowska-Dąbek, D., Kubicka, E., & Zaleska-Dorobisz, U. (2016). 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. Polish journal of radiology, 81536-539. https://doi.org/10.12659/PJR.898781
Mazur, Rafał, et al. "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." Polish journal of radiology vol. 81 (2016): 536-539. doi: https://doi.org/10.12659/PJR.898781
Mazur R, Pawluś A, Szymańska K, Patyk M, Otlewska A, Międzybrodzki K, Sokołowska-Dąbek D, Kubicka E, Zaleska-Dorobisz U. 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. Pol J Radiol. 2016 Nov 14;81:536-539. doi: 10.12659/PJR.898781. eCollection 2016. PMID: 27920840; PMCID: PMC5119684.
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Pol J Radiol. 2016 Nov 14;81:536-539. doi: 10.12659/PJR.898781. eCollection 2016.

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.

Polish journal of radiology

Rafał Mazur, Aleksander Pawluś, Kinga Szymańska, Mateusz Patyk, Anna Otlewska, Krzysztof Międzybrodzki, Dąbrówka Sokołowska-Dąbek, Eliza Kubicka, Urszula Zaleska-Dorobisz

Affiliations

  1. Department of General and Pediatric Radiology, Independent Public Clinical Hospital No. 1, Wroc?aw, Poland.
  2. Department of General and Pediatric Radiology, Independent Public Clinical Hospital No. 1, Wroc?aw, Poland; Department of Radiology, Wroc?aw Medical University, Wroc?aw, Poland.
  3. Department of Radiology, Wroc?aw Medical University, Wroc?aw, Poland.
  4. Clinic of Endocrinology, Diabetology and Isotope Therapy, Independent Public Clinical Hospital No. 1, Wroc?aw, Poland.

PMID: 27920840 PMCID: PMC5119684 DOI: 10.12659/PJR.898781

Abstract

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.

Keywords: Biliary Fistula; Cholangiopancreatography, Magnetic Resonance; Gadolinium DTPA

References

  1. Eur Radiol. 2016 Apr;26(4):921-31 - PubMed
  2. Gastroenterol Res Pract. 2016;2016:6293538 - PubMed
  3. Am Surg. 2015 Jul;81(7):720-5 - PubMed
  4. Aliment Pharmacol Ther. 2013 Nov;38(9):1045-53 - PubMed
  5. Abdom Imaging. 2012 Oct;37(5):795-802 - PubMed
  6. Eur Radiol. 2013 Oct;23(10):2713-22 - PubMed
  7. Br J Radiol. 2005 Oct;78(934):888-93 - PubMed
  8. AJR Am J Roentgenol. 2015 Mar;204(3):498-509 - PubMed

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