Bile duct stricture

Case contributed by Muhammad Essam

Presentation

Middle age male patient complaining of obstructive jaundice

Patient Data

Age: Middle age
Gender: Male
mri

The common hepatic duct is seen amputated at the confluence site of both hepatic ducts being totally obstructed for a short segment. Secondary dilatation of the intra hepatic biliary radicles of both hepatic lobes is noted, much more prominent on the left lobe

Case Discussion

Bile duct strictures are either benign or malignant.

Malignant strictures are usually short and irregular with shouldering margins, as in this case. This suggests the diagnosis of hilar cholangiocarcinoma (Klatskin tumor), but there is no pathological data available to confirm the diagnosis. 

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