August 2014

Abnormal bile ducts in the central part of the liver

Clinical Info

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
Another image of the liver
If you look closely you can see that the walls of the bile ducts are thickened
If you look closely you can see that the walls of the bile ducts are thickened
Another image of the liver hilum
Another image of the liver hilum
The gallbladder is normal
The gallbladder is normal
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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
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
Another image of the same patient
The thick wall is clearly visible
The thick wall is clearly visible
MRI image of the same patient showing caliber changes in the intra and extra hepatic bile ducts
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

Created with

  • Hitachi Ultrasound System