Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis

In this report, a patient was exposed to an herbal remedy for hypercholesterolemia. She became acutely jaundiced while taking the remedy and presented for medical care. Endoscopic ultrasound was utilized, and found a distal common bile duct mass. Endoscopic retrograde cholangiopancreatography guided...

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Veröffentlicht in:World journal of gastrointestinal endoscopy 2010-12, Vol.2 (12), p.404-407
Hauptverfasser: Rial, Nathaniel S, Henderson, Jeff T, Bhattacharyya, Achyut K, Nadir, Abdul, Cunningham, John T
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container_issue 12
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container_title World journal of gastrointestinal endoscopy
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creator Rial, Nathaniel S
Henderson, Jeff T
Bhattacharyya, Achyut K
Nadir, Abdul
Cunningham, John T
description In this report, a patient was exposed to an herbal remedy for hypercholesterolemia. She became acutely jaundiced while taking the remedy and presented for medical care. Endoscopic ultrasound was utilized, and found a distal common bile duct mass. Endoscopic retrograde cholangiopancreatography guided bile duct biopsies revealed that the mass was cholangio-carcinoma (CCA). This case highlights a unique association between autoimmune hepatitis and CCA. It also highlights that EUS can be safely used in patients with cirrhosis to spare invasive evaluation such as exploratory laporotomy for diagnosis and staging of cholangio-carcinoma.
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source Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Auto-immune
Case Report
Cholangiocarcinoma
Endoscopic
hepatits
ultrasound
title Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis
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