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Primary sclerosing cholangitis with Ulcerative Colitis

Jersey SLJ - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: David Grant USAF Medical Center

ABSTRACT

Diagnosis: Primary sclerosing cholangitis with Ulcerative Colitis

History: 47 y.o. man with vague abdominal pain and jaundice

Findings: Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis. The spleen is enlarged. There is thickening of the wall of the colon. MRCP image (obtained 5 years earlier)demonstrates a beaded appearance to the intrahepatic ducts.

Ddx: Sclerosing Cholangitis with Ulcerative colitis Secondary cholangitis with infectious colitis (eg. AIDS) Diffuse cholangiocarcinoma Pseudocirrhosis from metastatic disease

Dxhow: Clinical history, imaging, laboratory testing and liver biopsy

Exam: • Elevated liver enzymes; • Elevated total bilirubin; + perinuclear antineutrophil cytoplasmic antibodies (pANCA)

No MeSH data available.


Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis.  The spleen is enlarged.  There is thickening of the wall of the colon. Labeled: Ao - Aorta, IVC - Inferior vena cava, vertebral body, spinous process, etc.
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MPX1508_synpic48382: Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis. The spleen is enlarged. There is thickening of the wall of the colon. Labeled: Ao - Aorta, IVC - Inferior vena cava, vertebral body, spinous process, etc.


Primary sclerosing cholangitis with Ulcerative Colitis

Jersey SLJ - MedPix (2009)

Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis.  The spleen is enlarged.  There is thickening of the wall of the colon. Labeled: Ao - Aorta, IVC - Inferior vena cava, vertebral body, spinous process, etc.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1508&req=5

MPX1508_synpic48382: Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis. The spleen is enlarged. There is thickening of the wall of the colon. Labeled: Ao - Aorta, IVC - Inferior vena cava, vertebral body, spinous process, etc.

View Article: MedPix Image - MedPix Case

Affiliation: David Grant USAF Medical Center

ABSTRACT

Diagnosis: Primary sclerosing cholangitis with Ulcerative Colitis

History: 47 y.o. man with vague abdominal pain and jaundice

Findings: Contast-enhanced axial CT image demonstrates nodular appearance of the surface of the liver, atrophy of the lateral and posterior segments, hypertrophy of the caudate lobe, and overall rounded appearance to the liver, all concerning for cirrhosis. The spleen is enlarged. There is thickening of the wall of the colon. MRCP image (obtained 5 years earlier)demonstrates a beaded appearance to the intrahepatic ducts.

Ddx: Sclerosing Cholangitis with Ulcerative colitis Secondary cholangitis with infectious colitis (eg. AIDS) Diffuse cholangiocarcinoma Pseudocirrhosis from metastatic disease

Dxhow: Clinical history, imaging, laboratory testing and liver biopsy

Exam: • Elevated liver enzymes; • Elevated total bilirubin; + perinuclear antineutrophil cytoplasmic antibodies (pANCA)

No MeSH data available.