Klatskin tumour

Case contributed by Dr Ahmed Abd Rabou

Presentation

2 weeks of jaundice and itching. US reveals intrahepatic biliary radical dilatation

Patient Data

Age: 63 years old
Gender: Male
MRI

There is marked dilatation of the intrahepatic biliary radicals, right and left hepatic ducts and proximal common hepatic ducts till a short segment tight stricture is noted. There is abrupt tapering at the stricture site. A note is made of right basal lung nodule.

Annotated image

The red arrow refers to the abrupt tapered end of the common hepatic duct at the stricture site. The stricture is distal to the confluence

Case Discussion

Hilar cholangiocarcinoma is the commonest type of cholangiocarcinoma which affect the extra hepatic biliary radicals. Diagnosis is made by MRCP and ERCP by their radiological features. Tumor invasion of both hepatic ducts, vascular or hepatic parenchymal invasion render it unresectable.

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Case information

rID: 31942
Case created: 7th Nov 2014
Last edited: 14th Dec 2015
Inclusion in quiz mode: Included

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