August 2014

Abnormal bile ducts in the central part of the liver

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Clinical information

Patient with a chronic ulcerative colitis for many years and now has a mild jaundice.

Ultrasound Images & Clips

Abnormal bile ducts in the central part of the liver

Another image of the liver

If you look closely you can see that the walls of the bile ducts are thickened

Another image of the liver hilum

The gallbladder is normal

video

This is an image of a 20 year old patient with ulcerative colitis who also has a thickened wall of the bile ducts but who doesn't has jaundice yet

Another image of the same patient

The thick wall is clearly visible

MRI image of the same patient showing caliber changes in the intra and extra hepatic bile ducts

Conclusion

Although the lesion in the liver hilum of the first patient could have been caused by a Klatskin tumor (cholangiocarcinoma) the jaundice was caused by a stenosis of the bile ducts caused by a primary sclerosing cholangitis.

Details

Sex: Male
Age: 52

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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