Central cholangiocarcinoma and PTC insertion

Case contributed by Dr Mohammed Alshammari

Diagnosis almost certain

Presentation

65-year-old patient with abdominal pain and jaundice.

Patient Data

Age: 65 years

Gender: Male

From the case: Central cholangiocarcinoma and PTC insertion

MRI

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MRI: The liver is not cirrhotic and shows extensive intrahepatic biliary dilatation with abrupt cut off in the left and right main hepatic ducts at hilar region where there is infiltrative ill defined mass which appears slightly high signal intensity on T2WI, restricted on DWI, and shows retained contrast on delayed phases.

ERCP: Failed stenting with ERCP.

PTC: Successful stenting of CBD with PTC