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Case of the Month

October 2016

Patient Data: 75 year old male

Clinical Info: Jaundice


64948-Afbeelding8.jpg
Dilatated bile ducts in the liver


64949-Afbeelding9.jpg
Another image of the liver


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The common bile duct is not visible


64951-Afbeelding11.jpg
The pancreas is normal and the distal common bile duct is not dilatated


64952-Afbeelding12.jpg
The gallbladder is contacted so the obstruction is at the level of the liver hilum


64953-Mijn_Film_1.swf CT 1


64954-Mijn_Film_2.swf CT 2


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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


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Transverse image of the mass with centrally located stent


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Some of the bile ducts are completely obscured


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Unfortunately for the patient she has developed a cholecystitis which eventually had to be drained percutaneous


64959-Afbeelding17.jpg
Transverse image of the gallbladder


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Unfortunately a week later the gallbladder perforated


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Another image of the perforated gallbladder


64960-Mijn_Film_1.swf CT 1


64961-Mijn_Film_2.swf CT 2


64962-Mijn_Film_3.swf CT 3

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

For more examples of Klatskin tumors and other cholangiocarcinomas see

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