Presentation
Jaundice and weight loss.
Patient Data
Age: 65 years
Gender: Male
From the case:
Klatskin tumor - hilar cholangiocarcinoma
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There is marked dilatation of the left hepatic duct, with a faint enhancing slightly hyperdense mass within the common hepatic duct at the porta hepatic region with extension into the left duct associated with changes at the same lobe.
The pancreas and pancreatic duct seem normal.
No significant para-aortic lymphadenopathy.
No ascites.
The gallbladder, spleen, pancreas, both kidneys, and adrenals are unremarkable.
Case Discussion
Imaging features are highly suggestive of an intraductal-growing hilar cholangiocarcinoma (Klatskin tumor) at the bifurcation of the common hepatic duct with extension into the left hepatic duct. It is categorized using Bismuth classification stage IIIb.
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