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Peribiliary hepatic cysts presenting as hilar cholangiocarcinoma in a patient with end-stage liver disease.

Lim J, Nissen NN, McPhaul C, Annamalai A, Klein AS, Sundaram V - J Surg Case Rep (2016)

Bottom Line: They are present in ~50% of cirrhotic patients, but are underrecognized because they are usually asymptomatic and rarely present as obstructive jaundice.The ideal imaging modalities to identify peribiliary cysts are magnetic resonance cholangiography and drip infusion cholangiographic computed tomography, though hepatic dysfunction may limit the usefulness of the latter.Peribiliary cysts should be considered in cirrhotic patients with cholestasis, biliary dilatations and negative biopsy of the biliary system for malignancy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

No MeSH data available.


Related in: MedlinePlus

ERCP demonstrating mild-to-moderate intrahepatic ductal dilatation with multifocal biliary strictures.
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rjw130F2: ERCP demonstrating mild-to-moderate intrahepatic ductal dilatation with multifocal biliary strictures.

Mentions: Endoscopic ultrasound (EUS) demonstrated a complex cystic mass at the hilum measuring 29.8 × 28.6 mm. Endoscopic retrograde cholangiopancreatography (ERCP) revealed an irregular common hepatic duct with a stricture at the hilum and a stricture of the left intrahepatic duct, with proximal intrahepatic ductal dilation (Fig. 2). A biopsy of the biliary stricture revealed biliary mucosa without dysplasia or malignancy. There was suspicion that the liver hilum was biopsied rather than the targeted cystic mass, thus CCA could not be ruled out. The decision was made to perform a biopsy of the cystic mass at the time of OLT and to abort transplantation if there was evidence of malignancy.Figure 2:


Peribiliary hepatic cysts presenting as hilar cholangiocarcinoma in a patient with end-stage liver disease.

Lim J, Nissen NN, McPhaul C, Annamalai A, Klein AS, Sundaram V - J Surg Case Rep (2016)

ERCP demonstrating mild-to-moderate intrahepatic ductal dilatation with multifocal biliary strictures.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4979529&req=5

rjw130F2: ERCP demonstrating mild-to-moderate intrahepatic ductal dilatation with multifocal biliary strictures.
Mentions: Endoscopic ultrasound (EUS) demonstrated a complex cystic mass at the hilum measuring 29.8 × 28.6 mm. Endoscopic retrograde cholangiopancreatography (ERCP) revealed an irregular common hepatic duct with a stricture at the hilum and a stricture of the left intrahepatic duct, with proximal intrahepatic ductal dilation (Fig. 2). A biopsy of the biliary stricture revealed biliary mucosa without dysplasia or malignancy. There was suspicion that the liver hilum was biopsied rather than the targeted cystic mass, thus CCA could not be ruled out. The decision was made to perform a biopsy of the cystic mass at the time of OLT and to abort transplantation if there was evidence of malignancy.Figure 2:

Bottom Line: They are present in ~50% of cirrhotic patients, but are underrecognized because they are usually asymptomatic and rarely present as obstructive jaundice.The ideal imaging modalities to identify peribiliary cysts are magnetic resonance cholangiography and drip infusion cholangiographic computed tomography, though hepatic dysfunction may limit the usefulness of the latter.Peribiliary cysts should be considered in cirrhotic patients with cholestasis, biliary dilatations and negative biopsy of the biliary system for malignancy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

No MeSH data available.


Related in: MedlinePlus