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

Autor: Rial NS; Nathaniel S Rial, Department of Internal Medicine, College of Medicine, Arizona Cancer Center and Mel & Enid College of Public Health, The University of Arizona, Tucson, AZ 85724 United States., Henderson JT, Bhattacharyya AK, Nadir A, Cunningham JT
Jazyk: angličtina
Zdroj: World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2010 Dec 16; Vol. 2 (12), pp. 404-7.
DOI: 10.4253/wjge.v2.i12.404
Abstrakt: 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 cholangiocarcinoma (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 cholangiocarcinoma.
Databáze: MEDLINE