Female, 93 years old, experiencing episodic pain in the upper right abdomen, fever, jaundice, elevated CRP and increased liver values including bilirubin. Referred by the General practitioner for an abdominal ultrasound with suspicion of cholecystitis and cholelithiasis.
Significantly dilated common bile duct up to 2,8cm with a suspicious intraductal mass at the level of the ampulla of Vater. Marked dilatation of the intrahepatic bile ducts. Thin-walled, non-hydropic galbladder without stones.
The patient was referred to Gastroenterology for ERCP and stent placement. Additionaly a CT scan of the thorax and abdomen was performed confirming the mass at the ampulla of Vater and no signs of disease activity elsewhere. Due to the patient's age, no further treatment for ampullary carcinoma will be pursued.
Ampullary carcinoma
Esther is a freelance sonography technician with a special interest in abdominal and musculoskeletal ultrasound.
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