Primary sclerosing cholangitis

Case contributed by Dr Chris O'Donnell

Presentation

Past history of ulcerative colitis, now abnormal liver function tests.

Patient Data

Age: 60 years
Gender: Male
MRI

Typical gross central stricturing of the ducts with proximal dilatation.

3D MRCP nicely shows gross stricturing centrally involving the right and left hepatic ducts with segmental and subsegmental involvement.

T1 post-contrast, early arterial phase, shows regional perfusion abnormalities.

Case Discussion

Primary sclerosing cholangitis is commonly seen in patients with ulcerative colitis. Should be differentiated from cholangiocarcinoma, especially on contrast imaging, by excluding the presence of a mass.

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Case information

rID: 26879
Published: 11th Jan 2014
Last edited: 16th Sep 2019
Inclusion in quiz mode: Included

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