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Abdominal Imaging

, Volume 19, Issue 5, pp 417–422 | Cite as

AIDS-related cholangiopancreatographic changes

  • J. Farman
  • J. Brunetti
  • J. W. Baer
  • H. Freiman
  • G. M. Comer
  • F. J. Scholz
  • R. E. Koehler
  • K. Laffey
  • P. Green
  • A. R. Clemett
Article

Abstract

The cholangiographic and pancreatographic appearances of the acquired immunodeficiency syndrome (AIDS) associated cholangitis were evaluated in 26 patients. Twenty-four patients were diagnosed by retrograde cholangiography or endoscopic cholangiopancreatography (ERC or ERCP). One patient was diagnosed by T-tube cholangiography and another patient by transhepatic cholangiography. The radiographic findings ranged from intrahepatic ductal abnormalities with or without involvement of the extrahepatic biliary tree (eight patients) to irregularities and strictures involving the ampulla of Vater or the intrapancreatic portion of the common bile duct (CBD) with proximal dilatation (18 patients). Significant strictures involving the juxta-ampullary pancreatic duct were identified in six of 12 patients. Twenty-one of the 26 patients had associated infections which included: Cryptosporidium (CS), Mycobacterium avium intracellulare (MAI), cytomegalovirus (CMV), Microsporidium (MSP), and Isospora (ISP). Three patients were operated upon for acute acalculous cholecystitis. In each instance, organisms were identified in both the bile duct and the inflamed gallbladder.

Key words

AIDS cholangiopancreatitis Pancreatic duct stricture and dilatation-ampullary stenosis Intrapancreatic bile duct stricture IHD and EHD irregularities and strictures Multiple infections 

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Copyright information

© Springer-Verlag New York Inc 1994

Authors and Affiliations

  • J. Farman
    • 1
  • J. Brunetti
    • 1
  • J. W. Baer
    • 2
  • H. Freiman
    • 3
  • G. M. Comer
    • 4
  • F. J. Scholz
    • 5
  • R. E. Koehler
    • 6
  • K. Laffey
    • 1
  • P. Green
    • 7
  • A. R. Clemett
    • 3
  1. 1.Department of RadiologyMH3-204, Columbia-Presbyterian Medical CenterNew YorkUSA
  2. 2.Department of RadiologySt. Luke's-Roosevelt Medical Center, Columbia-Presbyterian Medical CenterNew YorkUSA
  3. 3.Departments of Medicine and RadiologySt. Vincent's HospitalNew YorkUSA
  4. 4.Division of Gastroenterology, Department of MedicineSUNY at Stony BrookStony BrookUSA
  5. 5.Department of RadiologyLahey ClinicBurlingtonUSA
  6. 6.Department of RadiologyUniversity of Alabama at BirminghamBirminghamUSA
  7. 7.Department of GastroenterologyColumbia-Presbyterian Medical CenterNew YorkUSA

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