When we see intrahepatic bile duct dilatation with strictures and only mild dilatation, the first diagnosis we think of is primary sclerosing cholangitis (PSC).
We know however that there is a long differential diagnistic list which includes:
The case on the left nicely demonstrates the bile duct strictures.
Notice that there is only mild dilatation, which is common in PSC.
We know however that there is a long differential diagnistic list which includes:
- Cholangiocarcinoma
- Metastatic disease (especially breast cancer)
- Iatrogenic bile duct strictures
- Unusual biliary tumors (granular cell tumor)
- Secondary sclerosing cholangitis due to:
- Ischemia, for example post -Chemoembolisation
- AIDS related cholangiopathy
The case on the left nicely demonstrates the bile duct strictures.
Notice that there is only mild dilatation, which is common in PSC.
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