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Cholangiocarcinoma

Case contributed by Derek Smith
Diagnosis almost certain

Presentation

History not provided.

Patient Data

Age: 55 years
Gender: Male

Edinburgh Imaging Archive

Photo

Percutaneous catheter drainage of the biliary system

Biliary duct in right lobe of liver catheterized using 8Fr pig tail catheter. 

Dilated intrahepatic ducts. Decompressed and injected with contrast. 

Long strictures of right and left hepatic duct, continuous with a common biliary duct structure. 

Incidental filling defect in the distal CBD, likely calculus. 

Case Discussion

Percutaneous biliary cholangiography - 1980

Appearances of intrahepatic biliary dilatation and hilar stricturing of CBD and right and left ducts favored a diagnosis of cholangiocarcinoma. 

This was confirmed on autopsy. 

Part of Edinburgh imaging archive. 

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