Bilan préthérapeutique d'une dilatation congénitale de la voie biliaire principale par cholangio-pancréatographie-IRM

Abdominal Mass Revealing an Enormous Cystic Dilatation of the Common Bile Duct

“…Intraperitoneal cystic masses rarely manifest as cystic dilatation of the common bile duct; Spindle or saccular dilation of the common bile duct can give abdominal mass syndrome. However, the diagnosis of DCVBP is most often made in childhood; The pain, jaundice, mass triad classically evokes cystic dilation of the bile ducts; However, this triad is only found in 10% of cases [4], ULTRASOUND The initial diagnosis of BCV is based mainly on ultrasound It represents a reliable examination in the assessment of the extent of the dilation of the biliary tree [5], CT as currently performed has no indication as long as MRI is available [6], LA BILI-IRM This is the gold standard examination for exploring multiple bilio-pancreatic pathways [7] (Figures 6, 7).…”

“…These are conditions represented by an ectasia of the main bile duct, most often of the aneurysmal or spindle-shaped type, much more rarely of the sacciform or diverticular type, the topography of which is segmental or total and presenting a variable size [4]. Their diagnosis is suspected by ultrasound and confirmed by Bili-MRI [5]. They are grouped by Todani into five types based on the location, extent and type of bile duct dilation.…”