Klatskin tumour

Case contributed by Dr Eric F Greif

Presentation

Jaundice and unintentional 15lbs weight loss.

Patient Data

Age: 74
Gender: Male
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.

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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