Distal cholangiocarcinoma: case report and brief review of the literature

Radiology Case Reports

article

Quincy A. Hathaway¹  Dhairya A. Lakhani¹  Aneri B. Balar¹  Stell P. Santiago¹  Matthew R. Krafft¹  Mohamed Zitun¹  Carl R. Schmidt¹  Kelly T. Smith¹  Cathy Kim¹ 

[1] Department of Radiology, Einstein Healthcare Network

关键词: Cholangiocarcinoma;    Pancreatobiliary type;    Common bile duct;    Metastatic disease;   

DOI  :  10.1016/j.radcr.2022.10.072

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Adenocarcinomas of the distal bile duct are traditionally classified as either pancreatobiliary or intestinal type, with pancreatic adenocarcinoma and cholangiocarcinoma included within the former classification. Cholangiocarcinoma is a rare and deadly malignancy that occurs within three clinically defined regions: intrahepatic, perihilar, and in the distal bile duct. We present a 68-year-old male with a past medical history of human immunodeficiency virus, hepatitis B, hypertension, and hyperlipidemia who presented to the emergency department with a 3-week history of diarrhea, diffuse abdominal pain, malaise, and nausea. Contrast enhanced CT of the abdomen and pelvis revealed a periampullary mass. Endoscopic ultrasound biopsy was performed, with histopathology suggestive of distal cholangiocarcinoma. Endoscopic retrograde cholangiopancreatography was utilized for palliative stent placement until patient received pancreaticoduodenectomy (ie, Whipple procedure). In this case, we highlight the imaging presentation and histopathology of a distal cholangiocarcinoma.

【 授权许可】

CC BY|CC BY-NC-ND