Mucin-hypersecreting papillary cholangiocarcinoma presenting as abdominal wall abscess: CT and spiral CT cholangiography

Abdom Imaging. 1996 May-Jun;21(3):222-5. doi: 10.1007/s002619900050.

Abstract

We describe CT findings of a case of mucin-hypersecreting papillary cholangiocarcinoma (MHPC), with extrahepatic bile leakage to the rectus abdominis muscle via the ligamentum teres hepatis forming an abdominal wall abscess. Endoscopic retrograde cholangiography was unsatisfactory. Spiral three-dimensional CT cholangiography was helpful in assessing the resectability of MHPC by offering anatomic details of the uninvolved biliary tree.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / diagnostic imaging*
  • Abdominal Muscles / diagnostic imaging*
  • Bile Duct Neoplasms / diagnostic imaging*
  • Bile Duct Neoplasms / metabolism
  • Bile Ducts, Intrahepatic / diagnostic imaging*
  • Cholangiocarcinoma / diagnostic imaging*
  • Cholangiocarcinoma / metabolism
  • Cholangiography*
  • Cholangiopancreatography, Endoscopic Retrograde
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Humans
  • Iodipamide / analogs & derivatives
  • Middle Aged
  • Mucins / metabolism*
  • Radiographic Image Enhancement
  • Tomography, X-Ray Computed*

Substances

  • Contrast Media
  • Mucins
  • meglumine iotroxinate
  • Iodipamide