Cystic dilatation as a radiographic sign of cholangiocarcinoma complicating sclerosing cholangitis.
A 40-year-old woman with ulcerative colitis and sclerosing cholangitis developed jaundice unresponsive to steroids. Endoscopic retrograde cholangiopancreatography showed multiple cystic dilatations similar in appearance to a previous report of a patient with sclerosing cholangitis who had an associated cholangiocarcinoma. Subsequent laparotomy led to the diagnosis of a cholangiocarcinoma. We conclude that the presence of cystic dilatation on cholangiography in patients with sclerosing cholangitis is highly suggestive of an associated cholangiocarcinoma.
D002759:Adenoma, Bile Duct / Q000150:complications / Q000000981:diagnostic imaging*; D000328:Adult; D001650:Bile Duct Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000150:complications* / Q000000981:diagnostic imaging; D003560:Cysts / Q000000981:diagnostic imaging; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D012598:Sclerosis; D014057:Tomography, X-Ray Computed