Abstract
Imaging has a decisive role in every stage of a Bile Duct Injury (BDI), from prevention to ultimate management.
Preoperative Ultrasound (US) and Magnetic Resonance Imaging (MRI)/Magnetic Resonance Cholangiopancreatography (MRCP) can warn of the likelihood of difficult cholecystectomy, while the use of Intraoperative Cholangiogram (IOC) or Indocyanine Green (ICG) fluorescent cholangiography contributes to the early diagnosis of the lesion injury and avoids further damage if the intraoperative imaging is interpreted correctly.
If the BDI happened to occur, the abdominal US and Computed Tomography (CT) scan represents the first-line methods addressing the patient’s immediate needs (sepsis, fluid collections, peritonitis, perforation, etc.).
MRI/MRCP and the use of hepato-specific agents provide a correct evaluation of the biliary anatomy with the detection of possible bile leaks.
Finally, the use of CT angiography allows a precise characterization of the associated vascular injuries, decisive for planning the resolution of the BDI.
We thoroughly discuss the extension and application of these methods in the different stages of this disease throughout the chapter.
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Spina, J.C., Orta, R. (2022). Role of Imaging. In: Pekolj, J., Ardiles, V., Glinka, J. (eds) Fundamentals of Bile Duct Injuries. Springer, Cham. https://doi.org/10.1007/978-3-031-13383-1_9
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