Skip to main content
SpringerLink
Log in

Use of multislice helical computed tomography cholangiography in the diagnosis of biliary disease

  • Case report
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

A recent advance in computed tomography (CT) technology, multislice helical CT, has enabled production of clearer three-dimensional (3D) images and has drawn interest. We report the usefulness of CT cholangiography using a multislice helical CT scanner for the diagnosis and preoperative imaging of the biliary duct in a case of peculiarly shaped gallbladder with cholecystitis. A 34-year-old woman admitted to our hospital presented with chronic hypochondralgia. A CT scan showed that the gallbladder was normal without wall thickening or stones. However, there appeared to be a tumor, containing a stone approximately 1 cm in diameter, attached under the gallbladder in front of the right kidney and extending up to its lower level. Magnetic resonance cholangiography also depicted a normal gallbladder without wall thickening or stones. Hence, gallbladder stones were not diagnosed by previously the mentioned investigations. In contrast, a 3D image produced by multislice helical CT cholangiography was very clear. From the bottom of the gallbladder, a narrow canal continued to a stone. We diagnosed that the wall of the lower part of the long gallbladder had become thick and elongated because of chronic cholecystitis caused by a gallbladder stone, and laparoscopic cholecystectomy was performed. Macroscopically, the resected gallbladder showed an extremely thickened wall from the lower body to the fundus, in which a stone was located in the center. Multislice helical CT cholangiography has the potential to become one of the most significant examinations for diagnosis and anatomical analysis of biliary disease prior to laparoscopic cholecystectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. S Achenbach D Ropers M Regenfus et al. (2001) ArticleTitleNoninvasive coronary angiography by magnetic resonance imaging, electron-beam computed tomography, and multislice computed tomography. Am J Cardiol 88 IssueIDSuppl 70E–73E Occurrence Handle10.1016/S0002-9149(01)01768-4 Occurrence Handle1:STN:280:DC%2BD3Mvis12lug%3D%3D Occurrence Handle11473753

    Article  CAS  PubMed  Google Scholar 

  2. EM Caoili EK Paulson LE Heyneman et al. (2000) ArticleTitleHelical CT cholangiography with three-dimensional volume rendering using an oral biliary contrast agent: feasibility of a novel technique. Am J Roentgenol 174 487–492 Occurrence Handle1:STN:280:DC%2BD3c7itFyitA%3D%3D

    CAS  Google Scholar 

  3. JO David WG David (1981) ArticleTitleComplications of gastrointestinal radiologic procedures: II. Complications related to biliary tract studies. Gastrointest Radiol 6 47–56 Occurrence Handle1:STN:280:Bi6B287nvVQ%3D Occurrence Handle7021298

    CAS  PubMed  Google Scholar 

  4. V David C Reinhold M Hockman et al. (1998) ArticleTitlePitfalls in the interpretation of MR cholangiopancreatography. Am J Roentgenol 170 1055–1059 Occurrence Handle1:STN:280:DyaK1c7ptFSruw%3D%3D

    CAS  Google Scholar 

  5. K Hirao A Miyazaki T Fujimoto et al. (2000) ArticleTitleEvaluation of aberrant bile ducts before laparoscopic cholecystectomy: helical CT cholangiography versus MR cholangiography. Am J Roentgenol 175 713–720 Occurrence Handle1:STN:280:DC%2BD3cvnsFarug%3D%3D

    CAS  Google Scholar 

  6. H Ichii M Takada R Kashiwagi et al. (2002) ArticleTitleThree-dimensional reconstruction of biliary tract using spiral computed tomography for laparoscopic cholecystectomy. World J Surg 26 608–611 Occurrence Handle10.1007/s00268-001-0277-z Occurrence Handle12098055

    Article  PubMed  Google Scholar 

  7. S Kinami T Yao M Kurachi Y Ishizaki (1999) ArticleTitleClinical evaluation of 3D-CT cholangiography for preoperative examination in laparoscopic cholecystectomy. J Gastroenterol 34 111–118 Occurrence Handle10.1007/s005350050225 Occurrence Handle1:STN:280:DyaK1M3hvFeitg%3D%3D Occurrence Handle10204620

    Article  CAS  PubMed  Google Scholar 

  8. HM Klein B Wein S Truong et al. (1993) ArticleTitleComputed tomographic cholangiography using spiral scanning and 3D image processing. Br J Radiol 66 762–767 Occurrence Handle1:STN:280:ByuD3srpsF0%3D Occurrence Handle8220943

    CAS  PubMed  Google Scholar 

  9. AH Kwon H Inui A Imamura et al. (1998) ArticleTitlePreoperative assessment for laparoscopic cholecystectomy: feasibility of using spiral computed tomography. Ann Surg 227 351–356 Occurrence Handle10.1097/00000658-199803000-00006 Occurrence Handle1:STN:280:DyaK1c7os1artA%3D%3D Occurrence Handle9527057

    Article  CAS  PubMed  Google Scholar 

  10. AH Kwon S Uetsuji T Ogura Y Kamiyama (1997) ArticleTitleSpiral computed tomography scanning after intravenous infusion cholangiography for biliary duct anomalies. Am J Surg 174 396–402 Occurrence Handle10.1016/S0002-9610(97)00125-6 Occurrence Handle1:STN:280:ByiH2sjgvFw%3D Occurrence Handle9337161

    Article  CAS  PubMed  Google Scholar 

  11. A Laghi R Iannaccone C Catalano R Passariello (2001) ArticleTitleMultislice spiral computed tomography angiography of mesenteric arteries. Lancet 358 638–639 Occurrence Handle1:STN:280:DC%2BD3Mvosleqtg%3D%3D Occurrence Handle11530154

    CAS  PubMed  Google Scholar 

  12. SE Macaulay S Schulte JH Sekijima et al. (1995) ArticleTitleEvaluation of a non-breath-hold MR cholangiography technique. Radiology 196 227–232 Occurrence Handle1:STN:280:ByqA3cvgt10%3D Occurrence Handle7784572

    CAS  PubMed  Google Scholar 

  13. T Miyazaki Y Yamashita T Tsuchigami et al. (1996) ArticleTitleMR cholangiopancreatography using HASTE (half-Fourier acquisition single-shot turbo spin-echo) sequences. Am J Roentgenol 166 1297–1303 Occurrence Handle1:STN:280:BymB383mvV0%3D

    CAS  Google Scholar 

  14. M Prokop (2000) ArticleTitleMultislice CT angiography. Eur J Radiol 36 86–96 Occurrence Handle10.1016/S0720-048X(00)00271-0 Occurrence Handle1:STN:280:DC%2BD3M7ht1GitA%3D%3D Occurrence Handle11116172

    Article  CAS  PubMed  Google Scholar 

  15. GD Rubin MC Shiau AN Leung et al. (2000) ArticleTitleAorta and iliac arteries: single versus multiple detector row helical CT angiography. Radiology 215 670–676 Occurrence Handle1:STN:280:DC%2BD3c3ptlChuw%3D%3D Occurrence Handle10831682

    CAS  PubMed  Google Scholar 

  16. SM Stockberger JL Wass S Sherman et al. (1994) ArticleTitleIntravenous cholangiography with helical CT: comparison with endoscopic retrograde cholangiography. Radiology 192 675–680 Occurrence Handle1:STN:280:ByuA3snoslc%3D Occurrence Handle8058932

    CAS  PubMed  Google Scholar 

  17. PV Suhocki W Meyers (1999) ArticleTitleInjury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay. Am J Roentgenol 172 955–959 Occurrence Handle1:STN:280:DC%2BD3c%2Flt1Cisw%3D%3D

    CAS  Google Scholar 

  18. M Takeuchi H Hishiyama S Kondo H Katou (2002) ArticleTitleEfficiency of cholangiography under helical computed tomography for laparoscopic cholecystectomy. Surg Today 32 387–391 Occurrence Handle10.1007/s005950200059 Occurrence Handle12061685

    Article  PubMed  Google Scholar 

  19. H Toyoda K Hayakawa M Kikkawa et al. (2000) ArticleTitleUsefulness of three-dimensional CT cholangiography for patients prior to laparoscopic cholecystectomy. Radiat Med 18 166–166

    Google Scholar 

  20. Y Yamashita Y Abe Y Tang et al. (1997) ArticleTitleIn vitro and clinical studies of image acquisition in breath-hold MR cholangiopancreatography: single-shot projection technique versus multislice technique. Am J Roentgenol 168 1449–1454 Occurrence Handle1:STN:280:ByiA3M3is1E%3D

    CAS  Google Scholar 

Download references

Acknowledgements

This work was supported in part by a grant from Nankai Financial, Japan.

Author information

Authors and Affiliations

  1. First Department of Surgery, Kagawa Medical University, 1750-1, Miki, Kita, Kagawa 761-0793, Japan

    K. Izuishi, F. Goda, K. Ishimura, Y. Karasawa, H. Usuki & H. Maeta

  2. Department of Radiology, Kagawa Medical University, 1750-1, Miki, Kita, Kagawa 761-0793, Japan

    Y. Toyama

Authors
  1. K. Izuishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y. Toyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Goda
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Ishimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y. Karasawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. H. Usuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. H. Maeta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K. Izuishi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Izuishi, K., Toyama, Y., Goda, F. et al. Use of multislice helical computed tomography cholangiography in the diagnosis of biliary disease . Surg Endosc 17, 1324–1325 (2003). https://doi.org/10.1007/s00464-002-4281-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-4281-7

Keywords

Search

Navigation