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 |
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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. |
doi_str_mv | 10.4253/wjge.v2.i12.404 |
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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. 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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.</description><subject>Auto-immune</subject><subject>Case Report</subject><subject>Cholangiocarcinoma</subject><subject>Endoscopic</subject><subject>hepatits</subject><subject>ultrasound</subject><issn>1948-5190</issn><issn>1948-5190</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNpVkU1LxDAQhoMoKurZmxQ8eOruTJO0zUUQ8QsEL-7BU0jTtBtpk7VpV_z3ZnGVNZcE5skzM7yEnCPMWMbp_PO9NbN1NrOYzRiwPXKMgpUpRwH7O-8jchbCO8TDWAFYHJKjDFEgR3ZM3hbBJL5JjKt90H5ldTJ146CCn1ydNH5Iaqta54MNG0wvfadca71Wg7bO9yqxLlHT6FPb95MzydKs1GhHG07JQaO6YM629wlZ3N-93j6mzy8PT7c3z6lmmI9pThUgAq9ExbkpM41V0aBikJuKcsXzIq-bBimUdQmUgVJFWRsQVS4oLRWnJ-T6x7uaqt7U2rg4fidXg-3V8CW9svJ_xdmlbP1aUkBgBUbB1VYw-I_JhFH2NmjTxUWNn4IsMxQFpayI5PyH1IMPYTDNXxcEuYlEbiKR60zGSGSMJP642B3uj_8NIAKXW-XSu_bDunbHCRQyIcqcfgM0jZYo</recordid><startdate>20101216</startdate><enddate>20101216</enddate><creator>Rial, Nathaniel S</creator><creator>Henderson, Jeff T</creator><creator>Bhattacharyya, Achyut K</creator><creator>Nadir, Abdul</creator><creator>Cunningham, John T</creator><general>Baishideng Publishing Group Co., Limited</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101216</creationdate><title>Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis</title><author>Rial, Nathaniel S ; Henderson, Jeff T ; Bhattacharyya, Achyut K ; Nadir, Abdul ; Cunningham, John T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-63a01105b9b55e82c1b7f1a406eb35a5676dff1308d80340aa78de09b69338a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Auto-immune</topic><topic>Case Report</topic><topic>Cholangiocarcinoma</topic><topic>Endoscopic</topic><topic>hepatits</topic><topic>ultrasound</topic><toplevel>online_resources</toplevel><creatorcontrib>Rial, Nathaniel S</creatorcontrib><creatorcontrib>Henderson, Jeff T</creatorcontrib><creatorcontrib>Bhattacharyya, Achyut K</creatorcontrib><creatorcontrib>Nadir, Abdul</creatorcontrib><creatorcontrib>Cunningham, John T</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rial, Nathaniel S</au><au>Henderson, Jeff T</au><au>Bhattacharyya, Achyut K</au><au>Nadir, Abdul</au><au>Cunningham, John T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis</atitle><jtitle>World journal of gastrointestinal endoscopy</jtitle><addtitle>World Journal of Gastrointestinal Endoscopy</addtitle><date>2010-12-16</date><risdate>2010</risdate><volume>2</volume><issue>12</issue><spage>404</spage><epage>407</epage><pages>404-407</pages><issn>1948-5190</issn><eissn>1948-5190</eissn><abstract>In this report, a patient was exposed to an herbal remedy for hypercholesterolemia. 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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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