OBJECTIVE: The aim of the study was to investigate the spectrum and pattern of pancreaticobiliary diseases in adult Nigerians using magnetic resonance cholangiopancreatography (MRCP).
METHODS: This was a retrospective, descriptive cross-sectional study. The electronic radiological records of 110 adult Nigerians who had undergone MRCP were reviewed. The MRCP images were evaluated for bile duct dilatation, intraluminal filling defects, strictures, calculi, and other abnormalities.
RESULTS: There were 45 males (40.9%) and 65 females (59.1%) aged 18-83 years, with a mean age of 51.93 ± 15.22 years. Jaundice (59.1%) and right hypochondrial pain (31.8%) were the most common presenting complaints. Gallstones (32.7%), common bile duct strictures (15.5%), choledocholithiasis (11.8%), pancreatic head carcinoma (10.9%), and gallbladder carcinoma (2.7%) were the most frequent abnormalities. There was biliary obstruction in 56.4% of participants, mostly at the distal and proximal common bile duct. Other findings include hepatomegaly (23.6%), hepatic cysts (6.4%), hepatic steatosis (0.9%), duodenal wall thickening (1.8%), and ascites (5.5%). MRCP was normal in 25 (22.7%) participants.
CONCLUSIONS: Gallstones were the predominant pathology of the various pancreaticobiliary diseases, while Pancreatic head and gallbladder carcinoma were the most common malignant diseases.
目的:该研究的目的是使用磁共振胰胆管成像(MRCP)研究成年尼日利亚人的胰胆管疾病的频谱和模式。
方法:这是一个回顾性研究,描述性横断面研究。审查了110名经历过MRCP的成年尼日利亚人的电子放射记录。MRCP图像评估胆管扩张,管腔内填充缺陷,狭窄,微积分,和其他异常。
结果:18-83岁男性45例(40.9%),女性65例(59.1%),平均年龄51.93±15.22岁。黄疸(59.1%)和右侧软骨下痛(31.8%)是最常见的主诉。胆结石(32.7%),胆总管狭窄(15.5%),胆总管结石(11.8%),胰头癌(10.9%),和胆囊癌(2.7%)是最常见的异常。56.4%的参与者有胆道梗阻,主要在远端和近端胆总管。其他发现包括肝肿大(23.6%),肝囊肿(6.4%),肝脂肪变性(0.9%),十二指肠壁增厚(1.8%),和腹水(5.5%)。25例(22.7%)患者MRCP正常。
结论:胆结石是各种胰胆管疾病的主要病理,胰头癌和胆囊癌是最常见的恶性肿瘤。