ABSTRACT
Introduction: Obstructive jaundice is a common clinicalproblem and most common presentation in patients withbiliary ductal obstruction. The role of imaging is crucialfor detection of site and cause of obstruction and also todifferentiation of benign and malignant pathology. MRCP isused in patients with history of obstructive jaundice to identifyand confirm the presence of obstruction, its location, extent,probable cause and also to obtain a map of the biliary treethat will help the surgeon or the interventionist to determinethe best approach to each individual case. The main aim andobjective of the study was to determine the accuracy of MRCPin the evaluation of patients with obstructive jaundice.Method and Materials: In the evaluation of patientswith obstructive jaundice, MRCP was conducted in theDepartment of Radio Diagnosis, Sree Balaji Medical collegeand Hospital. A total number of twenty five patients sufferingfrom obstructive jaundice of all age groups and either sexwere included in this study. Total of Twenty five patients withclinical diagnosis of obstructive jaundice were included in thestudy. MRCP was done in all the patients and results werecompiled and compared with Operative/ ERCP findings andhistopathological reports.Results: A total of twenty five patients suffering fromobstructive jaundice underwent MRCP. Out of the twentyfive patients, ten patients had benign causes of obstructivejaundice, while fifteen patients had malignant causes ofobstructive jaundice. MRCP had an accuracy of 97% indetecting the cause of obstructive jaundice. In diagnosing thesite of obstruction MRCP had an accuracy of 100%.Conclusion: In the diagnosis of obstructive jaundice and toknow the cause, site and extent of the lesion MRCP being anon invasive, non ionizing procedure seems to be a accurateand better choice.