TO STUDY THE ANATOMICAL VARIATIONS OF CYSTIC DUCT USING 3T MRCP IN TERTIARY CARE TEACHING HOSPITAL.

Dr. Akbar Ali C.M; Dr. Adarsh K.M.; Dr. Ravichandra G

Volume : IX, Issue : II, February - 2020

TO STUDY THE ANATOMICAL VARIATIONS OF CYSTIC DUCT USING 3T MRCP IN TERTIARY CARE TEACHING HOSPITAL.

Dr. Akbar Ali C. M, Dr. Adarsh K. M. , Dr. Ravichandra G

Abstract :

Introduction: Variations in anatomy of cystic duct are common.Failure to recognize some of variants may lead to complication during surgical, endoscopic, or percutaneous interventions. Therefore, it is necessary for the practitioner to be familiar with it’s variations. Aims: To demonstrate the imaging features of cystic duct (CD) and its variants using magnetic resonance cholangiopancreatography (MRCP) and document their prevalence in our population. Materials and methods: This study included 126 patients who underwent MRCP due to different indications and variations of cystic duct were documented. Results: Normal lateral insertion of CD at middle third of common hepatic duct was seen in 22.22% of cases. Medial insertion was seen in 17.46 % of cases, of which 3.17 % were low medial insertions. Low insertion of CD was noted in 15.07 % of cases. Parallel course of CD was present in 4.76 % of cases. High insertion was noted in 3.17 % and short CD in 2.38% of cases. No cases of cystic duct draining into right hepatic duct and right posterior sectoral hepatic duct draining into cystic duct were found. Conclusion: Cystic duct variations are common and MRCP is an optimal imaging modality for demonstration of cystic duct anatomy.