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Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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Patient KR: Hilar Stricture on<br />

ERCP<br />

ERCP, patient KR<br />

Image Source: BIDMC (PACS)<br />

Irregular appearance of<br />

intrahepatic bile ducts consistent<br />

with non-specific cholangitis<br />

Marked dilation of intrahepatic<br />

biliary ducts (L>R)<br />

Hilar stricture with narrowing of<br />

common, right <strong>and</strong> left hepatic<br />

ducts<br />

Pattern of stricture is highly<br />

suspicious for <strong>cholangiocarcinoma</strong><br />

A stent was placed in the CBD to<br />

facilitate biliary drainage, <strong>and</strong> bile<br />

duct brushings were obtained <strong>and</strong><br />

sent to pathology<br />

11

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