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Autoimmune cholangitis mimicking periductal-infiltrating cholangiocarcinoma

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Abstract

We report here on the imaging findings of a case of autoimmune cholangitis that involved a segmental bile duct of the liver. Abdominal computed tomogram showed ill-defined low-attenuation lesion at the hilar portion of the right hepatic lobe, and this was associated with peripheral intrahepatic bile duct dilatation. Gadolinium enhanced liver magnetic resonance imaging (MRI) showed wall thickening with periductal enhancement along the segmental tributaries of the right intrahepatic bile duct. The pathologic findings revealed lymphoplasmacytic infiltration and severe fibrosis, indicating autoimmune cholangitis.

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Authors and Affiliations

  1. Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Korea

    Ko Woon Park & Jae Hoon Lim

  2. Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul, 135-710, Korea

    Kee Taek Jang

  3. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul, 135-710, Korea

    Dong Wook Choi

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  1. Ko Woon Park
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  2. Jae Hoon Lim
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  3. Kee Taek Jang
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  4. Dong Wook Choi
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Correspondence to Jae Hoon Lim.

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Park, K.W., Lim, J.H., Jang, K.T. et al. Autoimmune cholangitis mimicking periductal-infiltrating cholangiocarcinoma. Abdom Imaging 33, 334–336 (2008). https://doi.org/10.1007/s00261-007-9259-4

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  • DOI: https://doi.org/10.1007/s00261-007-9259-4

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