scholarly journals Pancreatic Mass or Cyst? Diagnostic Dilemma

2019 ◽  
Vol 37 (6) ◽  
pp. 521-524
Author(s):  
Jagpal Singh Klair ◽  
Rahman Nakshabendi ◽  
Maheen Rajput ◽  
Henning Gerke ◽  
Rami El-Abiad
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Pancreatic Mass ◽  
Management Options ◽  
Diagnostic Dilemma ◽  
Recurrent Acute Pancreatitis ◽  
Single Episode ◽  
Minor Papilla ◽  
Diagnostic Modalities

A santorinicele is a rare anomaly defined as focal cystic dilation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Importantly this anomaly has been suggested as a possible cause of relative stenosis of the minor papilla. This anomaly has been associated with pancreatic divisum and recurrent acute pancreatitis. Magnetic resonance imaging/magnetic resonance cholangiopancreatography and endoscopic ultrasound (EUS) are the main diagnostic modalities. Endoscopic minor papilla sphincterotomy has been shown to improve pain and quality of life in patients with this anomaly presenting with recurrent pancreatitis. We present a case of a single episode of pancreatitis who underwent EUS for evaluation of possible pancreatic mass leading to a diagnosis of santorinicele and complete pancreatic divisum. We attempt to describe this anomaly, diagnostic approach, and management options.

The diagnostic and technical quality of magnetic resonance cholangiopancreatography (MRCP)

2015 ◽  
Vol 70 ◽  
pp. S17 ◽  
Author(s):  
Kishen R. Patel ◽  
Jyoti Parikh ◽  
Zeiad Hussain ◽  
Sofia Gourtsoyianni ◽  
Nyree Griffin
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Technical Quality

Contrast behavior and image quality of magnetic resonance cholangiopancreatography imaging using variable echo times at 3.0 T

2008 ◽  
Vol 32 (5) ◽  
pp. 362-366 ◽  
Author(s):  
Hiroyoshi Isoda ◽  
Yoji Maetani ◽  
Masako Kataoka ◽  
Shigeki Arizono ◽  
Kotaro Shimada ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Magnetic Resonance Cholangiopancreatography ◽  
3.0 T

scholarly journals Pancreatic pleural effusion masquerading as right sided tubercular pleural effusion

2019 ◽  
Vol 89 (3) ◽  
Author(s):  
Gopal Chawla ◽  
Ram Niwas ◽  
Nishant Kumar Chauhan ◽  
Naveen Dutt ◽  
Taruna Yadav ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Pleural Effusion ◽  
Respiratory Distress ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Fistula Tract ◽  
Endoscopic Retrograde ◽  
Diagnostic Dilemma ◽  
Detailed History ◽  
High Index Of Suspicion

Pleural effusion is easily diagnosed often managed optimally with standard protocols. It at times, is a diagnostic dilemma as it comes with big list of differential diagnosis. Pleural effusion due to pancreaticopleural fistula (PPF) is a rare and on right side is even rarer. Detailed history along with high index of suspicion in required to diagnose PPF, which is confirmed by increased level of pleural fluid amylase and lipase along with magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP) demonstrating fistula tract. Here we report the case of a young patient who presented with respiratory distress and was wrongly diagnosed as right sided tubercular effusion which later turned out to be pancreatic effusion. Management in our case was multi-disciplinary involving pulmonologist, gastroenterologist, radiologist and thoracic surgeon.

Magnetic resonance cholangiopancreatography: image quality, ductal morphology, and value of additional T2‐ and T1‐weighted sequences for the assessment of suspected pancreatic cancer

2005 ◽  
Vol 46 (2) ◽  
pp. 117-125 ◽  
Author(s):  
E. Lopez Hänninen ◽  
J. Ricke ◽  
H. Amthauer ◽  
R. Röttgen ◽  
M. Böhmig ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Contrast Material ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Pancreatic Tumors ◽  
Single Shot ◽  
Pancreatic Lesion ◽  
Thick Slab ◽  
Weighted Sequences

Purpose: To assess image quality and duct morphology on magnetic resonance cholangiopancreatography (MRCP) and also the value of additional T2‐ and T1‐weighted sequences for differentiation of benignity and malignancy in patients with suspected pancreatic tumors. Material and Methods: One‐hundred‐and‐fourteen patients received MRCP and unenhanced and contrast material‐enhanced MR imaging. MR results were analyzed independently by two blinded readers, and subsequently correlated with the results from surgery, biopsy, and follow‐up. Assessment included the evaluation of image quality, duct visualization and morphology, and the differentiation of pancreatic lesion status (benign versus malignant). Results: Overall, 49 patients had benign final diagnoses, while 65 had a malignant diagnosis. Image quality of single‐shot thick‐slab MRCP was rated significantly better than the MIP images of multisection MRCP. With MRCP alone, the two readers' accuracy in the assessment of pancreatic lesion status was 72% (95% CI, 64% to 83%) and 69% (95% CI, 56% to 77%), respectively; with the addition of T2‐ and T1‐weighted images the accuracy significantly improved to 89% (95% CI, 82% to 95%) and 84% (95% CI, 77% to 92%) for readers 1 and 2, respectively. Conclusion: Single‐shot thick‐slab MRCP and multisection MRCP provide complementary results; however, single‐shot MRCP had superior image quality. Moreover, assessment of ductal morphology with MRCP alone facilitated the diagnosis of different pathologic conditions of the pancreatobiliary system in the majority of patients. However, with the addition of T2‐ and T1‐weighted sequences the overall diagnostic accuracy was significantly improved and thus we consider that a comprehensive MR approach should comprise both MRCP techniques and parenchymal sequences.

Santorinicele: secretin-enhanced magnetic resonance cholangiopancreatography findings before and after minor papilla sphincterotomy

2015 ◽  
Vol 25 (8) ◽  
pp. 2437-2444 ◽  
Author(s):  
Enrico Boninsegna ◽  
Riccardo Manfredi ◽  
Anna Ventriglia ◽  
Riccardo Negrelli ◽  
Beatrice Pedrinolla ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Minor Papilla ◽  
Before And After

Impact of butylscopolamine on image quality of magnetic resonance cholangiopancreatography

2013 ◽  
Vol 82 (4) ◽  
pp. 583-588 ◽  
Author(s):  
Nanda Venkatanarasimha ◽  
Sarah J. Jenkins ◽  
Natalie Yang ◽  
Errol Colak ◽  
Anish Kirpalani
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Magnetic Resonance Cholangiopancreatography

Camera-based respiratory triggering improves the image quality of 3D magnetic resonance cholangiopancreatography

2019 ◽  
Vol 120 ◽  
pp. 108675
Author(s):  
Felix Harder ◽  
Fabian K. Lohöfer ◽  
Georgios A. Kaissis ◽  
Christoph Zoellner ◽  
Omar Kamal ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Respiratory Triggering
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