Anatomical Variations of Intrahepatic Bile Ducts on MRCP in Himachal Pradesh, North India
Introduction: Assessment of branching pattern of intrahepatic bile duct seems to be important before performing surgeries related to liver and biliary tract. Aim: To determine the normal anatomical variations in branching pattern of intrahepatic bile duct (IHBD) on MRCP (Magnetic Resonance Cholan...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Pvt. Ltd.
2016-10-01
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Series: | International Journal of Anatomy Radiology and Surgery |
Subjects: | |
Online Access: | http://www.ijars.net/articles/PDF/2204/20879_F(P)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
Summary: | Introduction: Assessment of branching pattern of intrahepatic bile duct seems to be important before performing surgeries related to liver and biliary tract.
Aim: To determine the normal anatomical variations in
branching pattern of intrahepatic bile duct (IHBD) on
MRCP (Magnetic Resonance Cholangiopancreatography) in subjects from Himachal Pradesh, North India.
Materials and Methods: Present study was conducted
on 100 adult patients who were routinely assessed for MR
abdomen along with MRCP. Classification of intrahepatic
bile ducts was as per to the branching pattern of both
right anterior and posterior segmental ducts as well as
that of left hepatic duct.
Results: Anatomy of the intrahepatic bile ducts was
typical in 63% of 100 cases. Total 37 % frequency of
atypical configuration was due to 18% of A2, 9 % A3,
8% A4 and 0% of A5 types. Whereas, 2% of the patients
had other types of biliary configurations. On comparing
the values belonging to females and males, it was found
that incidence of atypical patterns was significantly more
in males, and vice versa was true for typical pattern. The
same was found to be true when comparison was done
between 33 females and 23 males without any detectable
pathologies.
Conclusion: The difference in branching pattern of typical
and atypical pattern in the population, and the difference
between males and females seem to be important in
surgical managements. |
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ISSN: | 2277-8543 2455-6874 |