Cholangiocarcinoma - distal common bile duct

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Abnormal liver function tests.

Patient Data

Age: 80 years
Gender: Female

Marked intra- and extra-hepatic duct dilatation. Irregular mural thickening with abrupt cut-off of the distal common bile duct. No pancreatic duct dilatation. No liver mass or upper abdominal lymphadenopathy.

Case Discussion

The patient proceeded to stenting and biopsy with histology results confirming cholangiocarcinoma. The patient proceeded to a curative Whipple procedure.

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