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SAS Journal of Medicine | Volume-7 | Issue-09
Postoperative Evaluation of Hepatic Surgery with CT and MRI
Najlae Lrhorfi, Hasnae Moslih, Halfi Mohamed Ismail, Hounayda Jerguigue, Amine Benkabbou, Raouf Mohsine, Rachida Latib, Youssef Omor
Published: Sept. 25, 2021 | 119 94
DOI: 10.36347/sasjm.2021.v07i09.018
Pages: 485-495
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Abstract
Introduction: Hepatic surgery is associated with significant high rates of morbidity. CT scan is the optimal method for the detection of postoperative complications. In this context, MRI is increasingly used to detect certain complications, particularly biliary and pancreatic. This didactic article aims to illustrate the normal and pathological postoperative aspects of these surgeries in imaging. Recent data: First, we will describe the normal postoperative aspects of the surgical approach. Secondly, we will discuss the acute complications. The CT scan allows us to describe vascular complications such as: hemorrhages, ischemia and thrombosis. Relevant to add that biliary fistulas can be studied in both CT and MRI. Conclusion: The knowledge of the surgical techniques and procedures performed as well as the normal aspect in postoperative imaging is a primordial step in order to know how to identify a complication requiring a secondary laparotomy, a radiological drainage or a conservative treatment.