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American Journal of Roentgenology, Vol 173, 613-617, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Helical CT cholangiography for the detection and localization of bile duct leakage

HP Dinkel, R Moll, HJ Gassel, J Knupffer, W Timmermann, M Fieger and G Schindler
Department of Radiology, University of Wurzburg, Germany.

OBJECTIVE: We describe the use of helical CT cholangiography or helical CT after administration of biliary i.v. contrast material to verify and localize bile duct leakage. CONCLUSION: Helical CT cholangiography revealed bile leaks in seven patients after penetrating trauma or liver or gallbladder surgery and excluded bile leaks in two patients with blunt liver trauma. Endoscopic retrograde cholangiography was performed in only one of seven patients with bile leakage and was avoided in an additional two patients in whom CT cholangiography excluded leakage. The method is a feasible, noninvasive tool for the detection and localization of bile leaks and may help avoid endoscopic retrograde cholangiography.
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Copyright © 1999 by the American Roentgen Ray Society.