A Case of Localized Extrahepatic Primary Sclerosing Cholangitis

• Suzuki Nobuyasu

  Department of Surgery I, Fukushima Medical University School of Medicine

• Abe Tsuyoshi

  Department of Surgery I, Fukushima Medical University School of Medicine

• Saito Takuro

  Department of Surgery I, Fukushima Medical University School of Medicine

• Tsuchiya Takao

  Department of Surgery I, Fukushima Medical University School of Medicine

• Satoh Yoshihiro

  Department of Surgery I, Fukushima Medical University School of Medicine

• Kenjo Akira

  Department of Surgery I, Fukushima Medical University School of Medicine

• Yamada Fumihiko

  Department of Surgery I, Fukushima Medical University School of Medicine

• Ohsuka Fumihiko

  Department of Surgery I, Fukushima Medical University School of Medicine

• Gotoh Mitsukazu

  Department of Surgery I, Fukushima Medical University School of Medicine

Bibliographic Information

Other Title

• 肝外限局型原発性硬化性胆管炎の1例

Abstract

We report a case of localized primary sclerosing cholangitis (PSC) mimicking bile duct cancer. A 58 year old man admitted for general fatigue was showed in endoscopic retrograde cholangiography to have a narrowed lesion 2.5 cm long localized in the middle and lower bile duct. Endoscopic ultrasonography us showed a thickened wall at the same site. Tests for antinuclear antibody and antimitochondria antibody were negative. We suspected bile duct cancer and primary sclerosing cholangitis (PSC) and conducted a laparotomy. Intraoperative choledochoscopy showed no tumorous lesion in bile duct mucosa and intraductal us showed the thickened inside layer of the bile duct wall. Pathological examination of the thickened wall showed infiltration of inflammatory cells and fibrosis. Liver biopsy showed infiltration of inflammatory cells around the bile duct. We diagnosed this patient as having PSC, based on Weisner's criteria. We resected the extrahepatic bile duct, including the narrowed lesion, and conducted choledochojejunostomy. The patient has been in good health in the 17 months since aurgery.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 35 (6), 631-635, 2002

  The Japanese Society of Gastroenterological Surgery

Keywords

• Gastroenterology
• Surgery

Details

• CRID: 1390001204916170240
• NII Article ID: 130004343774
• NII Article ID: 110001344243
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.35.631
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/35/6/35_6_631/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002251447
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed