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16 December 2024 : Case report  Japan

Perihilar Cholangiocarcinoma Originating in Peribiliary Glands: Insights from a Case without Precancerous Lesions

Unusual clinical course, Mistake in diagnosis

Yukihiro Shirota ORCID logo ABCDEF 1*, Yoshimichi Ueda ABCDEF 2, Yasuni Nakanuma ADEF 3, Yuichi Yoshie BDE 4, Yasuhito Takeda BDE 1, Yuji Hodo ORCID logo BDE 1, Tokio Wakabayashi BDE 1

DOI: 10.12659/AJCR.945519

Am J Case Rep 2024; 25:e945519

Figure 1. Radiological findings of bile duct at onset. Representative coronal reformatted image section of contrast-enhanced CT (A) in the portal phase shows upstream dilatation of the left hepatic duct (yellow arrow head) and local dilatation of the common hepatic duct with wall thickening (pink arrow head). Mild dilated right anterior sectoral duct branches (pink arrow) and a remnant cystic duct (white arrow) are also shown. Continuous coronal sections of CT from anterior to posterior (B) show stenoses of bifurcations of the right posterior (yellow arrow) and anterior (pink arrow) sectoral ducts from the left hepatic duct (yellow arrow head) with wall thickening. Magnetic resonance cholangiopancreatography shows these stenoses and dilatation stereoscopically (C).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923