Korean J Gastrointest Endosc.  2001 Apr;22(4):250-254.

A Case of Primary Sclerosing Cholangitis Localized at Intrahepatic Bile Duct

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea

Abstract

Primary sclerosing cholangitis is a cholestatic liver disease characterized by fibroobliterative inflammation of the entire biliary tree. It is a slowly progressive disease with an undulating course, resulting in biliary cirrhosis. The gold standard for establishing the diagnosis is cholangiographic demonstration of typical diffuse biliary stricturing and beading. We exprienced a case of primary sclerosing cholangitis by Endoscopic retrograde cholangiopancreatography (ERCP) demonstration. ERCP findings revealed multiple luminal narrowing, stricture and beaded dilatation of the intrahepatic duct. We report a case of primary sclerosing cholangitis localizing at intrahepatic bile duct, which is confused with cholangiocarcinoma.

Keyword

Primary sclerosing cholangitis

MeSH Terms

Bile Ducts, Intrahepatic*
Biliary Tract
Cholangiocarcinoma
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis, Sclerosing*
Constriction, Pathologic
Diagnosis
Dilatation
Inflammation
Liver Cirrhosis, Biliary
Liver Diseases
Phenobarbital
Phenobarbital
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