MRI evaluation of bile duct injuries and other post-cholecystectomy complications

Shilpa Reddy, Camila Lopes Vendrami, Pardeep Mittal, Amir A. Borhani, Courtney C. Moreno, Frank H. Miller*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Laparoscopic cholecystectomy is one of the most common procedures performed each year and can be associated with various post-operative complications. Imaging is integral to diagnosis and management of patients with suspected cholecystectomy complications, and a thorough understanding of normal and abnormal biliary anatomy, risk factors for biliary injury, and the spectrum of adverse events is crucial for interpretation of imaging studies. Magnetic resonance cholangiography (MRC) enhanced with hepatobiliary contrast agent is useful in delineating biliary anatomy and pathology following cholecystectomy. In this article, we provide a protocol for contrast-enhanced MR imaging of the biliary tree. We also review the classification and imaging manifestations of post-cholecystectomy bile duct injuries in addition to other complications such as bilomas, retained/dropped gallstones, and vascular injuries.

Original languageEnglish (US)
Pages (from-to)3086-3104
Number of pages19
JournalAbdominal Radiology
Issue number7
StatePublished - Jul 2021


  • Bile duct injury
  • Bile duct leaks
  • Magnetic resonance imaging
  • Post-cholecystectomy complications

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology


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