Endoscopy 2020; 52(S 01): S161
DOI: 10.1055/s-0040-1704497
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 09:30 – 10:00 Cholangioscopy: Strictures ePoster Podium 2
© Georg Thieme Verlag KG Stuttgart · New York

AN UNUSUAL BILE DUCT LESION

P McDonagh
1   St James Hospital, Dublin, Ireland
,
F Maccarthy
1   St James Hospital, Dublin, Ireland
,
D Kevans
1   St James Hospital, Dublin, Ireland
,
K Hartery
1   St James Hospital, Dublin, Ireland
,
S McKiernan
1   St James Hospital, Dublin, Ireland
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 
 

    Clinical case 54 year old lady referred with a common bile duct (CBD) polyp on MRCP.

    Background history Primary sclerosing cholangitis (PSC) diagnosed 2017

    Ulcerative colitis (UC) diagnosed in 2017

    Ex Smoker (30 pack year history)

    ERCP/Direct Oral Cholangioscopy revealed a scarred and ulcerated distal CBD consistent with PSC. Multiple strictures with intrahepatic beading and stenosis in the second order ducts. A papilliform mass just below the hilum, with small islands of papilliform tissue seeded into the right and left first order ducts was seen. Biopsies and brushing taken.

    Histology confirmed an intraductal papillary mucinous neoplasm (IPMN).


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