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October 2016

Patient with jaundice
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Clinical information

Patient with jaundice.

Ultrasound Images & Clips

Patient with jaundice

Dilatated bile ducts in the liver
Dilatated bile ducts in the liver
Another image of the liver
Another image of the liver
The common bile duct is not visible
The common bile duct is not visible
The pancreas is normal and the distal common bile duct is not dilatated
The pancreas is normal and the distal common bile duct is not dilatated
The gallbladder is contacted so the obstruction is at the level of the liver hilum
The gallbladder is contacted so the obstruction is at the level of the liver hilum
CT 1
CT 2
This is an image of an 80 year old female patient with the same type of lesion that was treated with a stent draining the right part of the liver
This is an image of an 80 year old female patient with the same type of lesion that was treated with a stent draining the right part of the liver
Transverse image of the mass with centrally located stent
Transverse image of the mass with centrally located stent
Some of the bile ducts are completely obscured
Some of the bile ducts are completely obscured
Unfortunately for the patient she has developed a cholecystitis which eventually had to be drained percutaneous
Unfortunately for the patient she has developed a cholecystitis which eventually had to be drained percutaneous
Transverse image of the gallbladder
Transverse image of the gallbladder
Unfortunately a week later the gallbladder perforated
Unfortunately a week later the gallbladder perforated
Another image of the perforated gallbladder
Another image of the perforated gallbladder
CT 1
CT 2
CT 3

Conclusion

Both patients had Klatskin tumors or a centrally locatated cholangiocarcinoma. In the second patient a cholecystitis had developed that perforated so it had to be drained percutaneously. These tumors can't be removed surgically so they are usually treated palliatively with a stent

Details

  • Sex: Male
  • Age: 75

Created with

  • Fujifilm Ultrasound System
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photo Taco Geertsma
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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