Klatskin tumour

Case contributed by Dr Eric F Greif

Presentation

Jaundice and unintentional 15lbs weight loss.

Patient Data

Age: 74
Gender: Male
Modality: CT

There is diffuse moderate intrahepatic bile duct dilation. There is an enhancing soft tissue density within the common hepatic duct with post focal dilation of the CBD measuring 1.0-cm with remaining duct being normal in caliber. Findings are concerning for neoplastic disease (Klatskin's tumor).

Nondilated sludge filled gallbladder.

No pancreatic lesion or duct dilation.

Sternotomy wires. Cardiac pacemaker/AICD lead. Moderate aortic valve and severe coronary artery calcifications.

Small hiatal hernia.

Infrarenal IVC filter.

Diffuse aortic calcifications.

Evidence for constipation.

Modality: Annotated image

There is an enhancing soft tissue density within the common hepatic duct (open arrow).

Case Discussion

ERCP bile duct brush cytology: Positive for malignant cells; adenocarcinoma.

CA-19-9: 2211 U/ml

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Case Information

rID: 32709
Case created: 10th Dec 2014
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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