| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000416674 |
| ISSN: | 1665-2681 |
| Authors: | Khandelwal, Ashish1 Gorsi, Ujjwal2 Marginean, Celia E3 Papadatos, Demetri1 Uttam, George1 |
| Institutions: | 1Ottawa Hospital, Department of Medical Imaging, Ottawa, Ontario. Canadá 2Postgraduate Institute of Medical Education and Research, Department of Radio Diagnosis and Imaging, Chandigarh, Punjab. India 3Ottawa Hospital, Department of Pathology, Ottawa, Ontario. Canadá |
| Year: | 2013 |
| Season: | Mar-Abr |
| Volumen: | 12 |
| Number: | 2 |
| Pages: | 332-335 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | A 63-yr-old woman, known case of ulcerative colitis, was diagnosed with sclerosing cholangitis 2 years back. She was admitted for investigation of abdominal discomfort, fatigue with elevated alkaline phosphatase and deranged liver function test. Imaging studies (computerised tomography and magnetic resonance imaging) demonstrated a normal biliary tree with focal hepatic lesion which was showing features of cholangiocarcinoma. Ultrasound guided biopsy of the lesion surprisingly revealed non caseating granulomata. Granulomatous hepatitis occurs in less than 1 percent of cases of inflammatory bowel disease. A clinical diagnosis of isolated granulomatous hepatitis was established as the lesion remained stable on follow up and no other cause for it was identified on further investigation. Although the differential diagnosis of focal hepatic lesion in patients with ulcerative colitis with sclerosing cholangitis is wide, granulomatous hepatitis presenting as focal mass lesion mimicking cholangiocarcinoma has never been described previously |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Diagnóstico diferencial, Colangitis esclerosante, Enfermedad inflamatoria intestinal, Hígado, Masa, Manifestaciones extraintestinales, Imágenes de resonancia magnética, Hepatitis granulomatosa |
| Keyword: | Gastroenterology, Differential diagnosis, Sclerosing cholangitis, Inflammatory bowel disease, Liver, Mass, Extraintestinal manifestations, Magnetic resonance images, Granulomatous hepatitis |
| Full text: | Texto completo (Ver PDF) |
