Cholangiocarcinoma - hilar

Case contributed by Dr Hani Salam
MRI

Klatskin tumor

Axial T2WI shows focal dilated central ducts ending at a hypointense mass at the confluence of the main hepatic bile ducts. T1 FS: A central hypoattenuating lesion at the/near the porta hepatis. No significant enhancement post-contrast. MRCP (coronal) shows dilated IHBD, with a stricture at the proximal CBD. The pancreatic duct is unremarkable. 

DSA (angiography)

Cholangiocarcinoma

Internal biliary drainage.

Case Discussion

Hilar cholangiocarcinoma (Klatskin tumor)
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Case information

rID: 8104
Published: 12th Jan 2010
Last edited: 29th Sep 2019
Tag: liver
Inclusion in quiz mode: Included

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