Primary sclerosing cholangitis CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Primary sclerosing cholangitis}} | {{Primary sclerosing cholangitis}} | ||
{{CMG}}; {{AE}}{{DN}} | {{CMG}}; {{AE}}{{DN}} | ||
==Overview== | ==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== | ==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:<ref name="pmid20101749">{{cite journal |vauthors=Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, Gores GJ |title=Diagnosis and management of primary sclerosing cholangitis |journal=Hepatology |volume=51 |issue=2 |pages=660–78 |year=2010 |pmid=20101749 |doi=10.1002/hep.23294 |url=}}</ref><ref name="pmid9530297">{{cite journal |vauthors=Campbell WL, Ferris JV, Holbert BL, Thaete FL, Baron RL |title=Biliary tract carcinoma complicating primary sclerosing cholangitis: evaluation with CT, cholangiography, US, and MR imaging |journal=Radiology |volume=207 |issue=1 |pages=41–50 |year=1998 |pmid=9530297 |doi=10.1148/radiology.207.1.9530297 |url=}}</ref><ref name="pmid6886129">{{cite journal |vauthors=Ament AE, Haaga JR, Wiedenmann SD, Barkmeier JD, Morrison SC |title=Primary sclerosing cholangitis: CT findings |journal=J Comput Assist Tomogr |volume=7 |issue=5 |pages=795–800 |year=1983 |pmid=6886129 |doi= |url=}}</ref><ref name="pmid11641179">{{cite journal |vauthors=Campbell WL, Peterson MS, Federle MP, Siqueira ES, Slivka A, Grazioli L, Ichikawa T, Oliver JH, Kim T, Li W |title=Using CT and cholangiography to diagnose biliary tract carcinoma complicating primary sclerosing cholangitis |journal=AJR Am J Roentgenol |volume=177 |issue=5 |pages=1095–100 |year=2001 |pmid=11641179 |doi=10.2214/ajr.177.5.1771095 |url=}}</ref><ref name="pmid10228514">{{cite journal |vauthors=Dodd GD, Baron RL, Oliver JH, Federle MP |title=End-stage primary sclerosing cholangitis: CT findings of hepatic morphology in 36 patients |journal=Radiology |volume=211 |issue=2 |pages=357–62 |year=1999 |pmid=10228514 |doi=10.1148/radiology.211.2.r99ma49357 |url=}}</ref><ref name="pmid10319001">{{cite journal |vauthors=Johnson KJ, Olliff JF, Olliff SP |title=The presence and significance of lymphadenopathy detected by CT in primary sclerosing cholangitis |journal=Br J Radiol |volume=71 |issue=852 |pages=1279–82 |year=1998 |pmid=10319001 |doi=10.1259/bjr.71.852.10319001 |url=}}</ref> | 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:<ref name="pmid20101749">{{cite journal |vauthors=Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, Gores GJ |title=Diagnosis and management of primary sclerosing cholangitis |journal=Hepatology |volume=51 |issue=2 |pages=660–78 |year=2010 |pmid=20101749 |doi=10.1002/hep.23294 |url=}}</ref><ref name="pmid9530297">{{cite journal |vauthors=Campbell WL, Ferris JV, Holbert BL, Thaete FL, Baron RL |title=Biliary tract carcinoma complicating primary sclerosing cholangitis: evaluation with CT, cholangiography, US, and MR imaging |journal=Radiology |volume=207 |issue=1 |pages=41–50 |year=1998 |pmid=9530297 |doi=10.1148/radiology.207.1.9530297 |url=}}</ref><ref name="pmid6886129">{{cite journal |vauthors=Ament AE, Haaga JR, Wiedenmann SD, Barkmeier JD, Morrison SC |title=Primary sclerosing cholangitis: CT findings |journal=J Comput Assist Tomogr |volume=7 |issue=5 |pages=795–800 |year=1983 |pmid=6886129 |doi= |url=}}</ref><ref name="pmid11641179">{{cite journal |vauthors=Campbell WL, Peterson MS, Federle MP, Siqueira ES, Slivka A, Grazioli L, Ichikawa T, Oliver JH, Kim T, Li W |title=Using CT and cholangiography to diagnose biliary tract carcinoma complicating primary sclerosing cholangitis |journal=AJR Am J Roentgenol |volume=177 |issue=5 |pages=1095–100 |year=2001 |pmid=11641179 |doi=10.2214/ajr.177.5.1771095 |url=}}</ref><ref name="pmid10228514">{{cite journal |vauthors=Dodd GD, Baron RL, Oliver JH, Federle MP |title=End-stage primary sclerosing cholangitis: CT findings of hepatic morphology in 36 patients |journal=Radiology |volume=211 |issue=2 |pages=357–62 |year=1999 |pmid=10228514 |doi=10.1148/radiology.211.2.r99ma49357 |url=}}</ref><ref name="pmid10319001">{{cite journal |vauthors=Johnson KJ, Olliff JF, Olliff SP |title=The presence and significance of lymphadenopathy detected by CT in primary sclerosing cholangitis |journal=Br J Radiol |volume=71 |issue=852 |pages=1279–82 |year=1998 |pmid=10319001 |doi=10.1259/bjr.71.852.10319001 |url=}}</ref> | ||
*Mass lesions | *Mass [[lesions]], | ||
*Evidence of [[portal hypertension]], such as [[ascites]], [[splenomegaly]] and [[varices]] | *Evidence of [[portal hypertension]], such as [[ascites]], [[splenomegaly]] and [[varices]], | ||
*Thickening of the [[bile ducts]] and [[bile duct]] dilatations | *Thickening of the [[bile ducts]] and [[bile duct]] dilatations, | ||
*[[Lymphadenopathy]] in the abdomen is a common finding in patients with primary sclerosing cholangitis | *[[Lymphadenopathy]] in the [[abdomen]] is a common finding in patients with primary sclerosing cholangitis. | ||
[[Image:CT_PSC.jpg|300px| | [[Image:CT_PSC.jpg|center|300px|frame|CT without contrast(Case courtesy of Dr Ali Abougazia, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/27066">rID: 27066</a>)]] | ||
==References== | ==References== | ||
Latest revision as of 16:44, 6 December 2017
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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.