Primary sclerosing cholangitis CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
A CT scan of the abdomen is not routinely done as part of the workup for primary sclerosing cholangitis and findings are non-specific. However, findings include: mass lesions, evidence of portal hypertension, such as ascites, splenomegaly and varices, thickening of the bile ducts and bile duct dilatations and abdominal lymphadenopathy.
CT
A CT scan of the abdomen is not routinely done as part of the workup for primary sclerosing cholangitis and findings are non-specific. However, findings include:[1][2][3][4][5][6]
- Mass lesions,
- Evidence of portal hypertension, such as ascites, splenomegaly and varices,
- Thickening of the bile ducts and bile duct dilatations,
- Lymphadenopathy in the abdomen is a common finding in patients with primary sclerosing cholangitis.
References
- ↑ Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, Gores GJ (2010). "Diagnosis and management of primary sclerosing cholangitis". Hepatology. 51 (2): 660–78. doi:10.1002/hep.23294. PMID 20101749.
- ↑ Campbell WL, Ferris JV, Holbert BL, Thaete FL, Baron RL (1998). "Biliary tract carcinoma complicating primary sclerosing cholangitis: evaluation with CT, cholangiography, US, and MR imaging". Radiology. 207 (1): 41–50. doi:10.1148/radiology.207.1.9530297. PMID 9530297.
- ↑ Ament AE, Haaga JR, Wiedenmann SD, Barkmeier JD, Morrison SC (1983). "Primary sclerosing cholangitis: CT findings". J Comput Assist Tomogr. 7 (5): 795–800. PMID 6886129.
- ↑ Campbell WL, Peterson MS, Federle MP, Siqueira ES, Slivka A, Grazioli L, Ichikawa T, Oliver JH, Kim T, Li W (2001). "Using CT and cholangiography to diagnose biliary tract carcinoma complicating primary sclerosing cholangitis". AJR Am J Roentgenol. 177 (5): 1095–100. doi:10.2214/ajr.177.5.1771095. PMID 11641179.
- ↑ Dodd GD, Baron RL, Oliver JH, Federle MP (1999). "End-stage primary sclerosing cholangitis: CT findings of hepatic morphology in 36 patients". Radiology. 211 (2): 357–62. doi:10.1148/radiology.211.2.r99ma49357. PMID 10228514.
- ↑ Johnson KJ, Olliff JF, Olliff SP (1998). "The presence and significance of lymphadenopathy detected by CT in primary sclerosing cholangitis". Br J Radiol. 71 (852): 1279–82. doi:10.1259/bjr.71.852.10319001. PMID 10319001.