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All Journal International Journal of Radiology and Imaging
Setyawan, Gratia Enggar
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Medicine & Pharmacology Neuroscience

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MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY UNCOVERING A RARE BILE DUCT STENOSIS LEADING TO HEPATIC ENCEPHALOPATHY: A CASE REPORT Setyawan, Gratia Enggar; Dermoredjo, Sutaryanu
International Journal of Radiology and Imaging Vol. 5 No. 01 (2026): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2026.005.01.05

Abstract

Common bile duct (CBD) biliary stricture is an uncommon but clinically significant cause of chronic cholestasis and hepatic dysfunction that may progress to hepatic encephalopathy (HE). Identification of biliary obstruction as the reversible etiology of HE is crucial for appropriate management. Magnetic Resonance Cholangiopancreatography (MRCP) is a non-invasive imaging modality with high diagnostic accuracy for evaluating biliary pathology without contrast administration or ionizing radiation. We report a 47-year-old woman presenting with recurrent confusion, progressive jaundice, and significant weight loss, with a history of previous biliary surgery. MRCP demonstrated marked dilatation of the common bile duct and absence of choledocholithiasis, consistent with postoperative CBD biliary stricture. The patient developed recurrent hepatic encephalopathy secondary to chronic cholestasis and hepatic dysfunction. Surgical revision of the bilodigestive shunt resulted in clinical stabilization and improvement. This case highlights the essential role of MRCP in identifying biliary stricture as a treatable cause of hepatic encephalopathy and guiding definitive surgical management.
Co-Authors Dermoredjo, Sutaryanu