Mucin-hypersecreting papillary cholangiocarcinoma presenting as abdominal wall abscess: CT and spiral CT cholangiography.
We describe CT findings of a case of mucin-hypersecreting papillary cholangiocarcinoma (MHPC), with extrahepatic bile leakage to the rectus abdominis muscle via the ligamentum teres hepatis forming an abdominal wall abscess. Endoscopic retrograde cholangiography was unsatisfactory. Spiral three-dimensional CT cholangiography was helpful in assessing the resectability of MHPC by offering anatomic details of the uninvolved biliary tree.
Ko
S F
SF
Department of Radiology, Chang Gung Medical School and Memorial Hospital at Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan.
Chen
Y S
YS
Ng
S H
SH
Lee
T Y
TY
Chen
W J
WJ
Cheng
Y F
YF
D018784:Abdominal Abscess / Q000000981:diagnostic imaging*; D000009:Abdominal Muscles / Q000000981:diagnostic imaging*; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging* / Q000378:metabolism; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging*; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging* / Q000378:metabolism; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007458:Iodipamide / Q000031:analogs & derivatives; D008875:Middle Aged; D009077:Mucins / Q000378:metabolism*; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D009077:Mucins; C012386:meglumine iotroxinate; D007458:Iodipamide