الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 142 |  |  |
| | | from | 142 | | |
Abstract
Summary Biliary obstruction is a common surgical problem that happens when there is a blockage to the passage of bile from liver to small intestine. It may be due to benign causes or malignant causes and it’s difficult to differentiate between them with physical examination alone. Hence, we carried out a study to detect features of biliary obstruction to differentiate benign from malignant causes using MRCP. Also, MRCP is a well-established modality in the detection of biliary dilatation, the level and cause of biliary obstruction. Our study aimed to evaluate the role of MRCP in differentiating benign and malignant biliary obstruction. This study included 25 patients with clinical picture suggestiveof biliary obstruction. They were 13 males and 12 females, their aged ranged from 12 to 80 years. The patients were referred to Diagnostic Radiology and Medical Imaging Department, at Tanta University Hospital during a period from June 2021 to October 2022. All patients underwent MRCP on 1.5 Tesla MRI scanner.All selected patients were subjected to clinical assessment, laboratory assessment (Laboratory diagnosis of cholestatic jaundice was based on raised liver function tests including total bilirubin, direct bilirubin and/or alkaline phosphatase and available tumor markers (CA19-9, CEA, AFP). All patients had abdominal ultrasound, MRCP and Dynamic MRI of abdomen or abdominal CT scan was done for 6 patients. The final diagnosis was based on either surgical findings, histopathology of resected specimen or ERCP findings.