Endoscopy 2021; 53(S 01): S213
DOI: 10.1055/s-0041-1724847
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An Uncommon Diagnosis in Suspected Cbd Stricture - A Video Case Presentation

Y Elimeleh
1   Bnai Zion Medical Center, Internal Medicine, Haifa, Israel
,
A-R Zeina
2   Emek Medical Center, Gastroenterology and Hepatology Institute, Afula, Israel
,
I Gralnek
2   Emek Medical Center, Gastroenterology and Hepatology Institute, Afula, Israel
,
H Awadie
2   Emek Medical Center, Gastroenterology and Hepatology Institute, Afula, Israel
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A 41-year-old morbidly obese female with isolated elevated alkaline phosphatase noted during preoperative bariatric assessment was referred for hepatobiliary evaluation. Cross sectional imaging and magnetic resonance cholagiopacreaticography (MRCP) demonstrated a common hepatic duct (CHD) stricture with malignancy suspected. An endoscopic retrograde cholangiography confirmed CHD stricture. Brush cytology was benign. Due to malignancy suspicion and the planned bariatric surgery (gastric bypass surgery), direct cholangioscopy using SpyGlass was performed confirming a normal appearing CHD epithelium. However, cholangioscopy further demonstrated extrinsic compression of the CHD with arterial pulsations noted. Compression of the CHD secondary to right hepatic artery impingement was diagnosed.

Citation Elimeleh Y, Zeina A-R, Gralnek I et al. eP356V AN UNCOMMON DIAGNOSIS IN SUSPECTED CBD STRICTURE - A VIDEO CASE PRESENTATION. Endoscopy 2021; 53: S213.



Publication History

Article published online:
19 March 2021

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