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![]() BRATUCU, E., STRAJA, D., CIRIMBEI, C., MARINCAS, Augustin Marian, MARINCAS, Marian, FATOI, Diana. Duplicatia si falsa duplicatie a axului biliar principal. Implicatii diagnostice si terapeutice. In: Arta Medica , 2011, nr. 3S(46), p. 13. ISSN 1810-1852. |
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Arta Medica | ||||||
Numărul 3S(46) / 2011 / ISSN 1810-1852 /ISSNe 1810-1879 | ||||||
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Autorii prezinta doua cazuri de duplicatie a caii biliare principale, prin convergenta foarte joasa a canalelor hepatice. Unul dintre cazuri a reprezentat o duplicatie reala, incontestabila. Cel de-al doilea caz a fost interpretat initial ca o duplicatie pe baza examenelor colangiografice intraoperatorii si a colangiografiei endoscopice, interpretari care s-au dovedit eronate. Datele lamuritoare au fost oferite de reconstructiile colangio-RMN 3-D, in postoperator - falsa duplicatie in cazul unui alt tip de anomalie. Se desprinde ideea informatiei insuficiente oferite de explorarile imagistice colangiografice, cat si a colangioRMN standard, singura informatie de certitudine fiind oferita de reconstructiile colangioRMN 3D. Apare astfel evidenta necesitatea solicitarii de catre chirurg a imagisticii reconstructive 3D ori de cate ori este evocata o anomalie in aria cailor biliare extrahepatice. In acest mod s-ar afla mai rapid situatia anatomica reala si s-ar evita o serie de erori diagnostice sau chiar gesturi terapeutice neadecvate. |
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