Magnetic
resonance cholangiopancreatography (MRCP) has received much attention in
the recent literature as a noninvasive alternative to endoscopic retrograde
cholangiography, primarily for biliary calculus disease, but also for the
less common indication of evaluation of biliary anomalies. We present a
case of Caroli's disease in which the diagnosis can be clearly inferred
by MRCP. The findings of MRCP and endoscopic retrograde cholangiopancreatography
are similar. This new procedure could be a noninvasive alternative to direct
cholangiography and perhaps will become the first-choice imaging technique
for diagnosing Caroli's disease.
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