Bereiche

Kontakt

---

Zitation

Art

Name der Veranstaltung

Veröffentlichungsdatum

Kurzbeschreibung/Zielsetzung

Authors: Bertolini Reto (1), Peter Ueli (1), Schadde Erik (2), Gubler Christoph (1)
Affiliations: 1.) Division of Gastroenterology and Hepatology, Kantonsspital Winterthur, Brauerstrasse 15, 8401 Winterthur; 2.) Department of Surgery, Kantonsspital Winterthur, Brauerstrasse 15, 8401 Winterthur

Duration of the video: 6-7 min

Abstract: We present a cholangioscopy video of a 50-year-old woman who suffered from recurrent right upper pain. In MRI/MRCP, left-sided dilated intrahepatic bile ducts, focal stenosis of the left hepatic duct of unknown reason and left sided portal vein thrombosis were detected. In 18F-FDG PET/CT, a highly metabolic active lesion in the left hepatic lobe without distant metastasis was found. Differential diagnoses were intrahepatic gallstones, parasites or intraductal tumor. She underwent endoscopic retrograde cholangiography (ERC) with sphincterotomy and cholangioscopy. Multiple gallstones with stenosis within the common bile duct up to the left hepatic duct were seen under direct vision. A cholangioscopy-guided electrohydraulic lithotripsy was successfully performed, opening a completely obstructed segmental bile duct. Afterwards the intrahepatic left sided bile ducts could be inspected cholangioscopically, where slight decubital ulceration but no tumor was seen.