Abstract
A 55-year-old male who presented with obstructive jaundice and radiographically documented extrahepatic biliary tract obstruction is reported. Eosinophilic infiltration of the gallbladder, common bile duct, intrahepatic bile ducts, and bone marrow was observed. Eosinophilic cholangitis, a rare inflammatory condition that clinically resembles a biliary malignancy, should be taken into consideration in the differential diagnosis in the evaluation of presumed neoplasm of the bile ducts.
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Chusid MJ, Dale DC, West BC, Wolff SM. The hypereosinophilic syndrome: analysis of fourteen cases with review of the literature. Medicine (Baltimore). 1975;54(1):1–27.
Fauci AS, Harley JB, Robert WC, Ferrans VJ, Gralnick HR, Bjornson BH. The idiopathic hypereosinophilic syndrome. Clinical, pathophysiologic, and therapeutic considerations. Ann Intern Med. 1982;97:78–92.
Vauthey JN, Loyer E, Chokshi P, Lahoti S. Case 57: eosinophilic cholangiopathy. Radiology. 2003;227:107–12.
Rosengart TK, Rotterdam H, Ranson JH. Eosinophilic cholangitis: a self-limited cause of extrahepatic biliary obstruction. Am J Gastroenterol. 1990;85:582–5.
Fox H, Mainwaring AR. Eosinophilic infiltration of gallbladder. Gastroenterology. 1972;63:1049–52.
Wong DT, Elovic A, Matossian K, Nagura N, McBride J, Chou MY, et al. Eosinophils from patients with blood eosinophilia express transforming growth factor β. Blood. 1991;78:2702–7.
Butler TW, Feintuch TA, Caine WP Jr. Eosinophilic cholangitis, lymphadenopathy, and peripheral eosinophilia: a case report. Am J Gastroenterol. 1985;80:572–4.
Sheth A, Palmer R, Jordan PA, Manas K, Bhalodia A. Eosinophilic gastroenteritis of the pancreas: an unusual cause of obstructive jaundice. J Clin Gastroenterol. 2006;40(7):623–5.
Schoonbroodt D, Horsmans Y, Laka A, Geubel AP, Hoang P. Eosinophilic gastroenteritis presenting with colitis and cholangitis. Dig Dis Sci. 1995;40(2):308–14.
Jeyamani R, Ramakrishna BS, Kurian G. Eosinophilic cholangiopathy—a report of two cases. Indian J Gastroenterol. 2007;26(4):190–1.
Vitellas KM, Keogan MT, Freed KS, Enns RA, Spritzer CE, Baillie JM, et al. Radiologic manifestations of sclerosing cholangitis with emphasis on MR cholangiopancreatography. Radiographics. 2000;20(4):959–75. quiz 1108–09, 1112 (review).
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Chen, WH., Yu, CC., Wu, CC. et al. Eosinophilic cholangitis with obstructive jaundice mimicking bile duct carcinoma. J Hepatobiliary Pancreat Surg 16, 242–245 (2009). https://doi.org/10.1007/s00534-008-0041-y
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DOI: https://doi.org/10.1007/s00534-008-0041-y