Endoscopy 1990; 22(1): 49-50
DOI: 10.1055/s-2007-1010726
© Georg Thieme Verlag KG Stuttgart · New York

Detection of Large Intrahepatic Cholangiectases in Patients with Primary Sclerosing Cholangitis by Endoscopic Retrograde Cholangiography

L. Theilmann, A. Stiehl
  • Department of Internal Medicine, University of Heidelberg
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Summary

Cholangiographic features of primary sclerosing cholangitis are multiple strictures and alternating dilated and normal segments of both intra-and extrahepatic bile ducts. Formerly, intrahepatic cholangiectases have been shown only in explanted livers, but we now describe the presence of large intrahepatic cholangiectases in a 22-year-old male patient with primary sclerosing cholangitis, visualized using a balloon catheter at endoscopic retrograde cholangiography. Cholangiectases in this patient appear to have been caused by the disease and not as a result of prestenotic dilatations. To treat possible early complications of this condition, we recommend looking for these cholangiectases when diagnostic endoscopic retrograde cholangiography is performed in primary sclerosing cholangitis.