Detection of bile duct leaks using MR cholangiography with mangfodipir trisodium (Teslascan)

Mangafodipir trisodium (Teslascan). a hepatobiliary contrast agent. has the potential of providing functional biliary imaging similar to hepatobiliary scintigraphy. To our knowledge, the potential role of this biliary contras t agent in the detection of bile duct leaks has not been reported. In this case report, we report the first case of a bile duct leak diagnosed with en hanced MRI with mangafodipir trisodium in a patient following laparoscopic cholecystectomy. Our case illustrates that functional MR cholangiography im ages can be successfully acquired by using a post-mangafodipir fat-suppress ed GRE technique and that bile duct leaks can be detected.