B Cell Acute Lymphocytic Leukemia Presenting as a Bile Duct Stricture Diagnosed With Cholangioscopy.
Indeterminate biliary strictures represent a diagnostic challenge requiring further work-up, which encompasses a variety of diagnostic modalities. We report a very rare case of B-cell acute lymphocytic leukemia presenting as a biliary stricture following remission of acute myeloid leukemia, which was initially treated with allogenic stem cell transplant. After multiple diagnostic modalities were implemented with no success, the use of cholangioscopy-guided biopsies was the key for the final diagnosis.
Division of Internal Medicine, Mayo Clinic, Jacksonville, FL.
Jose
J
Melendez-Rosado
Department of Gastroenterology, Mayo Clinic, Jacksonville, FL.
Michael J
MJ
Bartel
Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL.
Liuyan
L
Jiang
Department of Gastroenterology, Mayo Clinic, Jacksonville, FL.
Frank
F
Lukens