SavedAdd your journal

Journals / Turkish Journal of Gastroenterology / 2000 / Cilt: 11 - Sayı: 4

Primer sklerozan kolanjitli bir hastada her iki ekstrahepatik safra yolunun dilatasyonu

Cystic dilatation of both extrahepatic bile ducts in a patient with primary sclerosing cholangitis

Erkan PARLAK
Meral AKDOĞAN
Nurgül ŞAŞMAZ
Burhan ŞAHİN
Pages
330–333
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Cystic dilatation of both extrahepatic bile ducts may be an occasional radiological feature of primary sclerosing cholangitis and ultrasonography may be useful in differential diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The cholangiographic features of primary sclerosing cholangitis are multiple strictures, usually short, annular and band-like, with intervening segments of normal or more usually mildly dilated ducts.
📊
Key Findings & Data:In this study, a 26-year-old male patient with Crohn's disease and extrahepatic primary sclerosing cholangitis with cystic dilatation of both hepatic bile duct is presented.
💡
Conclusion & Impact:Cystic dilatation of both extrahepatic bile ducts may be an occasional radiological feature of primary sclerosing cholangitis and ultrasonography may be useful in differential diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Crohn hastalığı · Safra kanalları · intrahepatik

Abstract

The cholangiographic features of primary sclerosing cholangitis are multiple strictures, usually short, annular and band-like, with intervening segments of normal or more usually mildly dilated ducts. Occasionally, cystic dilatations of intra- and extrahepatic bile ducts are observed in this disease. In this study, a 26-year-old male patient with Crohn's disease and extrahepatic primary sclerosing cholangitis with cystic dilatation of both hepatic bile duct is presented. Ultrasonography demonstrated a thickened common bile duct wall and endoscopic cholongiography showed a diffusely narrowed common bile duct and cystic dilation of the right and left extrahepatic bile ducts (3.5 cm x 2.2 cm and 2.6 cm x1.7 cm in diameter respectively). The normal (not dilated) appearance of the intrahepatic bile ducts and the rapid flow-of the contrast material from the intrahepatic bile ducts suggested that cystic dilatation was not of pre-stenotic origin in this patient. Cystic dilatation of both extrahepatic bile ducts may be an occasional radiological feature of primary sclerosing cholangitis and ultrasonography may be useful in differential diagnosis.

Özet

Primer sklerozan kolanjitin, kolonjiografik özelliği, kısa, anüler, multifokal darlıklar ve bu darlıkların arasında normal veya hafif dilate safra yollarıdır. Bugüne kadar sadece birkaç hastada intra veya ekstrahepatik safra yollarının kistik dilatasyonu bildirilmiştir. Bu yazıda 26 yaşında Crohn hastalığı ile birlikte sağ ve sol ekstrahepatik duktusların kistik dilatasyonuyla giden PSC'li bir olgu sunuldu. Ultrasonografide koledok duvarında belirgin kalınlaşma, ERCP'de ise diffüz daralmış koledok ve sağ (3.5X2.2 cm) ve sol (2.6X1.7 cm) ekstrahepatik safra yollarının kistik dilatasyonu görüldü. Intrahepatik safra yollarının normal görülmesi ve kontrast maddenin hızlı boşalması dilatasyonunun stenoza bağlı olmadığını düşündürdü. Ekstrahepatik safra yolunun kistik dilatasyonu PSC'nin nadir kolonjiografik bulguları arasında görülebilir ve ayırıcı tanıya ultrasonografi yardımcı olabilir.

🔖

Cite This Article

PARLAK, E., AKDOĞAN, M., ŞAŞMAZ, N., ŞAHİN, B. (2000). Primer sklerozan kolanjitli bir hastada her iki ekstrahepatik safra yolunun dilatasyonu. Turkish Journal of Gastroenterology, Cilt: 11 - Sayı: 4, 330–333. https://ajindex.com/articles/411251

References (1)

  1. .Ludwig J, LaRusso NF, Wiesner RH. The syndrome of primary sclerosing cholangitis. Prog Liver Dis 1990; 9: 555-66. 2).Ponsioen CIJ, Tytgat GNJ. Primary sclerosing cholangitis: A clinical review. Am J Gastroenterol 1998; 93: 515-23. 3).Chapman RWG, Arborgh BA, Rhodes JM, et al. Primary sclerosing cholangitis: A review of its clinical features, cholangiography and hepatic histology. Gut 1980; 21: 870-7. 4).MacCarty RL, LaRusso NF, Wiesner RH, Ludwig J. Primary sclerosing cholangitis: Findings on cholangiography and pancreatography. Radiology 1983; 149: 39-44. 5).Gulliver DJ, Baker ME, Putnam W, et al. Bile duct diverticula and webs: Nonspecific cholangiographic features of primary sclerosing cholangitis. AJR 1991; 157: 281-5. 6).Theilmann L, Stiehl A. Detection of large intrahepatic cholangiectases in patients with primary sclerosing cholangitis by endoscopic retrograde cholangiography. Endoscopy 1990; 22: 49-50. 7).Geneve J, Dubuc N, Mathieu D, et al. Cystic dilatation of intrahepatic bile ducts in primary sclerosing cholangitis. J Hepatol 1990; 11: 196-9. 8).Siegel EG, Fölsch UR. Primary sclerosing cholangitis mimicking choledocal cyst type 1 in a young patient. Endoscopy 1999; 31: 200-3. 9).Todani T, Watanabe Y, Narusue M. Congenital bile duct cysts: classification, operative procedures and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977; 134: 263-9. 10).Majoie CB, Smits NJ, Phoa SS, et al. Primary sclerosing cholangitis: sonographic findings. Abdom Imaging 1995; 20: 109-12. 11). Ludwig J, MacCarty RL, LaRusso NF, et al. Intrahepatic cholangiectases and large-duct obliteration in primary sclerosing cholangitis. Hepatology 1986; 6: 560-8.