Imaging Diagnosis of Congenital Cholangiectasis:A Report of 6 Cases and Review of Literature

VernacularTitle:先天性胆管扩张症的影像学诊断(附6例报告及文献复习)
Author: Qian CHEN ; Zhenhe ZHUO ; Tianhong JIAO ; Wentao FAN ; Shandan XU
Publication Type:Journal Article
Keywords: biliary duct; congenital cholangiectasis; ultrasound; tomography; X-ray computed
From: Journal of Practical Radiology 2009;25(12):1765-1767,1771
CountryChina
Language:Chinese
Abstract: Objective To study the imaging value in diagnosis of congenital cholangiectasis.Methods The clinical and imaging (CT and ultrasonics) data of 6 patients with congenital cholangiectasis were restrospectively analyzed with literature review.Results According to Todani's classifications of cholangiectasis,there were type I in one case,CT showed cystic hypodense shadow with thin and smooth wall;type IV in 4 cases,CT showed cystic or fusiform extension of intra-and extra-hepatic bile ducts;type V in one case,CT showed cystic extension of intra-hepatic bile ducts,and the central spot enhancement could be seen on contrast-enhanced CT scan.6 cases underwent ultrasonic examinations,ultrasound showed extension of intra-and extra-hepatic bile ducts in 6 cases,choledochal cyst in one.4 cases suspected with congenital cholangiectasis,and misdiagnosed in one.In company with cholecystitis and cholelithiasis in one,biliary carcinoma in one and cirrhosis in one.Conclusion CT and US are of important value in diagnosis of congenital cholangiectasis.