Skip to main content

Advertisement

Log in

Follicular cholangitis mimicking hilar cholangiocarcinoma

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

A 61-year-old man with intermittent periumbilical pain and high liver enzyme levels underwent spiral computed tomography of the abdomen with intravenous contrast medium enhancement. Abdominal computed tomogram showed wall thickening of both intrahepatic ducts and proximal common hepatic duct with enhancement. Direct cholangiogram showed severe smooth strictures from the common hepatic duct to both intrahepatic ducts. The findings were interpreted as hilar cholangiocarcinoma. The pathologic findings after surgical resection were consistent with follicular cholangitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. van Verbeek PC, van Leeuwen DJ, de Wit LT, et al. Benign fibrosing disease at the hepatic confluence mimicking Klatskin tumors. Surgery 1992;112:866–871

    PubMed  CAS  Google Scholar 

  2. Nakayama A, Imanura H, Shimada R, et al. Proximal bile duct stricture disguised as malignant neoplasm. Surgery 1999;125:514–521

    Article  PubMed  CAS  Google Scholar 

  3. Binkley CE, Eckhauser FE, Colletti LM. Unusual causes of benign biliary strictures with cholangiographic features of cholangiocarcinoma. J Gastrointest Surg 2002;6:676–681

    Article  PubMed  Google Scholar 

  4. Ponchon T, Gagnon P, Berger F, et al. Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: results of a prospective study. Gastrointest Endosc 1995;42:565–572

    PubMed  CAS  Google Scholar 

  5. Pugliese V, Conio M, Nicol G, et al. Endoscopic retrograde forceps biopsy and brush cytology of biliary strictures: a prospective study. Gastrointest Endosc 1995;42:520–526

    Article  PubMed  CAS  Google Scholar 

  6. Mendler MH, Bouillet P, Sautereau D, et al. Value of MR cholangiography in the diagnosis of obstructive disease of the biliary tree: A study of 58 cases. Am J Gastroenterol 1998;93:2482–2490

    Article  PubMed  CAS  Google Scholar 

  7. Aoki T, Kubota L, Oka T, et al. Follicular cholangitis: another cause of benign biliary stricture. Hepatogastroenterology 2003;50:639–642

    PubMed  Google Scholar 

  8. Yousem SA, Colby TV, Carrington CB. Follicular bronchiolitis/bronchiolitis. Hum Pathol 1985;16:700–706

    PubMed  CAS  Google Scholar 

  9. Majoie CBLM, Huibregtse K, Redders JWAJ. Primary sclerosing cholangitis. Abdom Imaging 1997;22:194–198

    Article  PubMed  CAS  Google Scholar 

  10. Kosuge T, Makuuchi M, Ozaki H, et al. Primary lymphoma of the common bile duct. Hepatogastroenterology 1991;38:235–238

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. H. Lim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, J.Y., Lim, J.H. & Lim, H.K. Follicular cholangitis mimicking hilar cholangiocarcinoma. Abdom Imaging 30, 744–747 (2005). https://doi.org/10.1007/s00261-005-0334-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-005-0334-4

Keywords

Navigation