CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2017; 27(01): 6-12
DOI: 10.4103/0971-3026.202966
Abdominal Imaging

Imaging in ductal plate malformations

Binit Sureka
Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Archana Rastogi
Department of Pathology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Chhagan Bihari
Department of Pathology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Kishore G S Bharathy
Department of HPB Surgery, Institute of Liver and Biliary Sciences, New Delhi, India
,
Vikrant Sood
Department of Pediatric Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Seema Alam
Department of Pediatric Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Ductal plate malformations are a heterogenous group of congenital fibrocystic liver diseases resulting from insult to the ductal plate at various stages of embryogenesis. As a result various biliary malformations, cysts, hamartomas and congenital hepatic fibrosis may be seen. We present a radiological pictorial of ductal plate malformations, accurate diagnosis of which is important for clinical management.



Publication History

Article published online:
27 July 2021

© 2017. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Terada T, Kitamura Y, Nakanuma Y. Normal and abnormal development of the human intrahepatic biliary system: A review. Tohoku J Exp Med 1997;181:19-32.
  • 2 Santiago I, Loureiro R, Curvo-Semedo L, Marques C, Tardáguila F, Matos C, et al. Congenital cystic lesions of the biliary tree. AJR Am J Roentgenol 2012;198:825-35.
  • 3 von Meyenburg H. Über die Zystenleber. Beiträge zur pathologischen Anatomie und zur allgemeinen Pathologie. Jena 1918;64:477-532.
  • 4 Zheng RQ, Zhang B, Kudo M, Onda H, Inoue T. Imaging findings of biliary hamartomas. World J Gastroenterol 2005;28;11:6354-9.
  • 5 Cheung YC, Tan CF, Wan YL, Lui KW, Tsai CC. MRI of multiple biliary hamartomas. Br J Radiol 1997;70:527-9.
  • 6 Brancatelli G, Federle MP, Vilgrain V, Vullierme MP, Marin D, Lagalla R. Fbropolycystic liver disease: CT and MR imaging findings. Radiographics 2005;25:659-70.
  • 7 Zeitoun D, Brancatelli G, Colombat M, Federle MP, Valla D, Wu T, et al. Congenital hepatic fibrosis: CT findings in 18 adults. Radiology 2004;231:109-16.
  • 8 Akhan O, Karaosmanoğlu AD, Ergen B. Imaging findings in congenital hepatic fibrosis. Eur J Radiol 2007;61:18-24.
  • 9 Polycystic Liver Disease. Gastroenterol Hepatol 2015;11:542-4.
  • 10 Morgan DE, Lockhart ME, Canon CL, Holcombe MP, Bynon JS. Polycystic liver disease: Multimodality imaging for complications and transplant evaluation. Radiographics 2006;26:1655-68.
  • 11 BistritzL, Tamboli C, Bigam D, Bain VG. Polycystic liver disease: Experience at a teaching hospital. Am J Gastroenterol 2005;100:2212-7.
  • 12 Itai Y, Ebihara R, Eguchi N, Saida Y, Kurosaki Y, Minami M, et al. Hepatobiliary cysts in patients with autosomal dominant polycystic kidney disease: Prevalence and CT findings. AJR Am J Roentgenol 1995;164:339-42.
  • 13 HansmanMF, Ryan JA Jr, Holmes JH 4th, Hogan S, Lee FT, Kramer D, et al. Management and long-term follow-up of hepatic cysts. Am J Surg 2001;181:404-10.
  • 14 Qian Q. Isolated polycystic liver disease. Adv Chronic Kidney Dis 2010;17:181-9.
  • 15 Qian Q, Li A, King BF, Kamath PS, Lager DJ, Huston J 3rd, et al. Clinical profile of autosomal dominant polycystic liver disease. Hepatology 2003;37:164-71.
  • 16 Caroli J, Soupault R, Kossakowski J, Plocker L, Paradowska M. La dilatation polykystiquecongénitale des voiesbiliairesintrahépatiques: Essai de classification. Sem Hop 1958;34:488-95.
  • 17 Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977;134:263-9.
  • 18 Levy AD, Rohrmann CA Jr, Murakata LA, Lonergan GJ. Caroli's disease: Radiologic spectrum with pathologic correlation. AJR Am J Roentgenol 2002;179:1053-7.
  • 19 Barros JL, Polo JR, Sanabia J, Garcia-Sabrido JL, Gomez-Lorenzo FJ. Congenital cystic dilatation of the intrahepatic bile ducts (Caroli's disease): Report of a case and review of the literature. Surgery 1979;85:589-92.
  • 20 Taylor AC, Palmer KR. Caroli's disease. Eur J Gastroenterol Hepatol 1998;10:105-8.
  • 21 Lendoire J, Barros Schelotto P, Alvarez Rodríguez J, Duek F, Quarin C, Garay V, et al. Bile duct cyst type V (Caroli's disease): Surgical strategy and results. HPB 2007;9:281-4.
  • 22 Yonem O, Bayraktar Y. Clinical characteristics of Caroli's syndrome. World J Gastroenterol 2007;13:1934-7.
  • 23 Bergmann C, Senderek J, Sedlacek B, Pegiazoglou I, Puglia P, Eggermann T, et al. Spectrum of mutations in the gene for autosomal recessive polycystic kidney disease (ARPKD/PKHD1). J Am Soc Nephrol 2003;14:76-89.
  • 24 Terada T. Human fetal ductal plate revisited: II. MUC1, MUC5AC, and MUC6 are expressed in human fetal ductal plate and MUC1 is expressed also in remodelling ductal plate, remodeled ductal plate and mature bile ducts of human fetal livers. Int J Clin Exp Pathol 2013;6:571-85.
  • 25 Tzoufi M, Rogalidou M, Drimtzia E, Sionti I, Nakou I, Argyropoulou M, et al. Caroli's disease: Description of a case with a benign clinical course. Ann Gastroenterol 2011;24:129-33.
  • 26 Venkatanarasimha N, Thomas R, Armstrong EM, Shirley JF, Fox BM, Jackson SA. Imaging features of ductal plate malformations in adults. Clin Radiol 2011;66:1086-93.
  • 27 Kim MJ, Han SJ, Yoon CS, Kim JH, Oh JT, Chung KS, et al. Using MR cholangiopancreatography to reveal anomalous pancreaticobiliary ductal union in infants and children with choledochal cysts. AJR Am J Roentgenol 2002;179:209-14.
  • 28 Todani T, Watanabe Y, Fujii T, Toki A, Uemura S, Koike Y. Congenital choledochal cyst with intrahepatic involvement. Arch Surg 1984;119:1038-43.
  • 29 Michaelides M, Dimarelos V, Kostantinou D, Bintoudi A, Tzikos F, Kyriakou V, et al. A new variant of Todani type I choledochal cyst. Imaging evaluation. Hippokratia 2011;15:174-7.
  • 30 Bhoil R, Sood S, Sood RG, Singla G, Bakshi S. A variant of type VI choledochal cyst: Combined dilatation of cystic duct and common bile duct. J Ultrasound 2015;19:71-2.
  • 31 Serena Serradel AF, Santamaría Linares E, Herrera Goepfert R. Cystic dilatation of the cystic duct: A new type of biliary cyst. Surgery 1991;109:320-2.
  • 32 Sethi S, Upreti L, Verma AK, Puri SK. Choledochal cyst of the cystic duct: Report of imaging findings in three cases and review of literature. Indian J Radiol Imaging 2015;25:315-20.
  • 33 Todani T, Toki A. [Cancer arising in choledochal cyst and management]. Nihon Geka Gakkai Zasshi 1996;97:594-8.
  • 34 Low Y, Vijayan V, Tan CE. The prognostic value of ductal plate malformation and other histological parameters in EHBA; An immunohistochemical study. J Pediatr 2001;139:320-2.
  • 35 Zhou LY, Guan BY, Li L, Xu ZF, Dai CP, Wang W, et al. Objective differential characteristics of cystic biliary atresia and choledochal cysts in neonates and young infants: Sonographic findings. J Ultrasound Med 2012;31:833-41.
  • 36 Desmet VJ. Ludwig symposium on biliary disorders-part I. Pathogenesis of ductal plate abnormalities. Mayo Clin Proc 1998;73:80-9.
  • 37 Chang HJ, Jin SY, Park C, Park YN, Jang JJ, Park CK, et al. Mesenchymal hamartomas of the liver: Comparison of clinicopathologic features between cystic and solid forms. J Korean Med Sci 2006;21:63-8.
  • 38 Cook JR, Pfeifer JD, Dehner LP. Mesenchymal hamartoma of the liver in the adult: Association with distinct clinical features and histological changes. Hum Pathol 2002;33:893-8.