| Usefulness of axial planes of helical computed tomography for diagnosis of pancreaticobiliary maljunction in early infants with negative findings on magnetic resonance cholangiopancreatography. | |
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MedLine Citation:
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PMID: 18358308 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Magnetic resonance cholangiopancreatography (MRCP) is not sufficient to detect pancreaticobiliary maljunction (PBM) in young infants because the main pancreatic duct is not visualized and respiratory artifacts occur. To our knowledge, there are no reports highlighting the diagnostic accuracy of evaluation using the axial planes of helical computed tomographic (CT) scanning with contrast medium instead of 3-dimensional (3D) reconstruction. The aim of this study was to describe our experience and the characteristics of 3 children with PBM diagnosed using the axial planes of helical CT with contrast medium, although they showed negative findings of PBM by MRCP, instead of 3D reconstruction. METHODS: Three patients aged from 1 month to 3 years were diagnosed with PBM using the axial planes of helical CT with contrast medium though MRCP could not show the common channel and/or the entrance of the common channel into the duodenum. RESULTS: In all 3 patients, PBM of the common channel was not revealed by MRCP. On the other hand, axial planes of contrast-enhanced helical CT scans showed PBM clearly. CONCLUSIONS: Our experience suggests that axial planes of the contrast-enhanced helical CT scan comprise an accurate tool for the diagnosis of fusiform-type PBM and could replace MRCP in younger children. Further studies are necessary for better assessment of the potential advantages and pitfalls of this modality. |
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Authors:
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Tadao Okada; Fumiaki Sasaki; Shouhei Honda; Satsuki Naitou; Yuya Onodera; Satoru Todo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 43 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-24 Completed Date: 2008-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 579-82 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan. okadata@med.hokudai.ac.jp |
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| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Cholangiopancreatography, Magnetic Resonance* Common Bile Duct / abnormalities, radiography*, surgery Congenital Abnormalities / diagnosis*, surgery Female Follow-Up Studies Humans Infant Infant, Newborn Male Pancreatic Ducts / abnormalities, radiography*, surgery Risk Assessment Sampling Studies Sensitivity and Specificity Tomography, Spiral Computed* Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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