Extrahepatic biliary atresia with choledochal cyst: Prenatal MRI predicted and post natally confirmed: A case report

Nori, Madhavi; Venkateshwarlu, J; Vijaysekhar,; Prasad, G. Raghavendra

doi:10.4103/0971-3026.120278

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…Normal size and shape GB, depiction normal of intrahepatic ducts on T2FIESTA or T2 SSFSE sequences can exclude biliary atresia by fetal MRI. Nonvisualization of GB and visualization cyst specific to the biliary tract on fetal MRI are suggestive of biliary atresia according to Nori et al 9 Other possibilities such as ovarian cyst, mesenteric, adrenal, and renal cyst can be excluded because of different locations. Duodenal duplication can be excluded since less likely to have tapered ends.…”

Section: Discussionmentioning

confidence: 99%

Fetal Magnetic Resonance Imaging of Choledochal Cyst

Wirasasmita¹,

Abdurrazak²,

Yani³

2020

International Journal of Infertility &Amp; Fetal Medicine

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Choledochal cysts (CCs) are rare congenital anomaly with characterized dilatation of intra-or extrahepatic biliary duct or both. Prenatal diagnosis is increasing due to high resolution of ultrasound (US) and ultrafast sequences of magnetic resonance imaging (MRI) showing better delineation of the cyst to the adjacent structure. Considering the additional value of the fetal MRI report is still infrequent to confirm the CC case, we therefore report the type I of CC, which was previously diagnosed as a cystic biliary atresia (CBA) from US result. Postnatal MRI and histopathology prove it.

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Section: Discussionmentioning

confidence: 99%

Fetal Magnetic Resonance Imaging of Choledochal Cyst

Wirasasmita¹,

Abdurrazak²,

Yani³

2020

International Journal of Infertility &Amp; Fetal Medicine

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“…31 b. Hepatic hilar cyst. [6][7][8]10,11,[14][15][16][17]30,31 c. Portosystemic derivations. 30 d. Seroperitoneum.…”

Section: Discussionmentioning

confidence: 99%

“…Several retrospective studies and case reports summarized the prenatal ultrasound findings of BA infants based on retrospective analysis of the prenatal images, most of which were linked with nonvisualization of the gallbladder or choledochal cyst. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] In our cases, dysmorphic gallbladders are the main features visible on prenatal ultrasound, and we also present integral follow-ups for the three cases, with an aim to raise awareness regarding the association between BA and dysmorphic gallbladders, and offer reference to clinical counseling applications.…”

mentioning

confidence: 99%

Dysmorphic Gallbladder Found on Prenatal Ultrasound as a Hint for Biliary Atresia

Feng

Xiu

et al. 2022

J of Ultrasound Medicine

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Biliary atresia (BA) is a rare but devastating cholangiopathy. We report a case series of dysmorphic gallbladders detected during prenatal ultrasound, which were confirmed as BA after birth. We present the prenatal ultrasound findings as well as integral follow‐up, with an aim to raise awareness regarding the association between BA and dysmorphic gallbladder. Although this dysmorphic gallbladder is a strong hint for BA, it is also important to search for other related sonographic features, such as the presence of microcysts at the hepatic hilum, dilated right hepatic artery, and seroperitoneum, which may provide more evidence for the diagnosis of BA.

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“…Although magnetic resonance imaging (MRI) or threedimensional (3D) US with reconstructed planes may aid the prenatal diagnosis, we believe that a careful and precise twodimensional (2D) US should be encouraged, since it may be satisfactory enough, in most cases, to demonstrate the sign of the connection between the gall bladder and the cyst, like in our case [10][11][12][13][14][15]. Indeed, MRI as well as 3D technology, although can be very useful in many cases, especially those of unfavourable fetal position, are expensive tools, require expert operators and are not readily available in some clinical contexts.…”

Section: Gynecology and Obstetrics Case Report Issn 2471-8165mentioning

confidence: 99%

Two-Dimensional Ultrasonographic Prenatal Diagnosis of Choledochal Cyst: Our Experience and Literature Review

Spinelli¹,

Lavinia²

2016

Gynecol Obstet Case Rep

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Choledochal cyst is an abnormality of the biliary ducts, characterized by a dilatation of a portion of the biliary ductal system (most commonly a portion or the whole of the extrahepatic bile duct system) that presents usually at ultrasonography as a cystic mass in the right upper quadrant abdomen. Ultrasonographic prenatal diagnosis may be challenging since the detection of any intraabdominal cyst raises the issue of differential diagnosis considering its nature as well as the organ of origin. In this paper, we report our experience with a case of a choledochal cyst strongly suspected during routine midtrimester ultrasound scan, when a round liquid mass was found in the right upper quadrant of the abdomen; the cyst was independent of the other intra-abdominal organs but a connection was observed between the latter cyst and dilated bile ducts. The diagnosis was confirmed at birth and the infant underwent successful surgical correction of the anomaly. We review the current literature as well, discussing the current open challenges of diagnosing and managing these cases.

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Extrahepatic biliary atresia with choledochal cyst: Prenatal MRI predicted and post natally confirmed: A case report

Cited by 8 publications

References 9 publications

Fetal Magnetic Resonance Imaging of Choledochal Cyst

Fetal Magnetic Resonance Imaging of Choledochal Cyst

Dysmorphic Gallbladder Found on Prenatal Ultrasound as a Hint for Biliary Atresia

Two-Dimensional Ultrasonographic Prenatal Diagnosis of Choledochal Cyst: Our Experience and Literature Review

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