ROLE OF MRCP IN OBSTRUCTIVE JAUNDICE

Abstract

Background: Jaundice can be defined as the yellow discoloration of the skin and the skin as well as the sclera. It is due to the accumulation of bilirubin in the mucous membranes and the skin[i]. It is divided into obstructive (surgical) and non-obstructive (medical). Further, when the site of the conjugation of bile in the liver cells and the entry of bile into the duodenum through ampulla is blocked, it is defined as obstructive jaundice. Aim: To evaluate the diagnostic value and accuracy of MRCP in the diagnosis of obstructive jaundice Methods: The study was conducted at the Department of Radio-diagnosis of the Dr. Panjabrao Deshmukh Memorial Medical College and hospital, Amravati. The duration of the study was from December 2016 to November 2018. Twenty patients were chosen for the scope of the study who presented with clinical & biochemical features of obstructive jaundice. All the patients were evaluated by Magnetic resonance imaging-Magnetic resonance cholangiopancreatography (MRI-MRCP). The imaging was done using the 1.5T MRI machine (Wipro GE Signa Excite). Results: The most common cause of obstruction jaundice in the majority of cases was Tumours, i.e. 45%.  It was followed by choledocholithiasis (35%), benign CBD strictures (10%) and lymph nodal mass (10%).

Conclusion: It was concluded that MRI-MRCP is a non-invasive technique that is highly sensitive and aids in the detection biliary obstruction. Further, it eases the treatment process by helping in the identification of the level and cause of obstruction as well.