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Large B cell lymphoma of the liver with malignant biliary obstruction

Roberge EAR - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Large B cell lymphoma of the liver with malignant biliary obstruction

History: One month of abdominal pain, nausea, and vomiting.

Findings: >> CT Liver: infiltrative mass in right lobe of liver, intrahepatic biliary dilatation, lymphadenopathy. >> Percutaneous cholangiogram and external biliary drain placement: mildly dilated intrahepatic biliary ducts, mass effect displaces common hepatic duct. >> Percutaneous cholangiogram and endobiliary stent placement: Gore Viabil covered metallic stent allows internal drainage.

Ddx: >> Hepatocellular carcinoma >> Cholangiocarcinoma

Dxhow: core biopsy and cytology

Exam: The patinet is a cachectic, jaundiced, elderly asian female. Serum total bilirubin 14.9mg/Dl, Alkaline phosphatase 956 U/l.

No MeSH data available.


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Large B cell lymphoma of the liver with malignant biliary obstruction

Roberge EAR - MedPix (2006)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1264&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Large B cell lymphoma of the liver with malignant biliary obstruction

History: One month of abdominal pain, nausea, and vomiting.

Findings: >> CT Liver: infiltrative mass in right lobe of liver, intrahepatic biliary dilatation, lymphadenopathy. >> Percutaneous cholangiogram and external biliary drain placement: mildly dilated intrahepatic biliary ducts, mass effect displaces common hepatic duct. >> Percutaneous cholangiogram and endobiliary stent placement: Gore Viabil covered metallic stent allows internal drainage.

Ddx: >> Hepatocellular carcinoma >> Cholangiocarcinoma

Dxhow: core biopsy and cytology

Exam: The patinet is a cachectic, jaundiced, elderly asian female. Serum total bilirubin 14.9mg/Dl, Alkaline phosphatase 956 U/l.

No MeSH data available.