Diagnosis of intrabiliary metastasis of colorectal cancer by cholangioscopy

Abstract Text Two cases of intrabiliary metastasis of colorectal cancer (CRC) diagnosed with endoscopic retrograde cholangiopancreatography (ERCP) and cholangioscopy using the SpyGlass DSII system. In case 1, ERCP showed a long asymmetric stricture of the common bile duct and dilatation of intrahepatic ducts. Cholangioscopy visualized a mass arising from the choledochal wall, with villous pattern and irregular vessels. In case 2, the cholangiography showed stenosis of the common hepatic duct and retrograde dilatation. Cholangioscopy visualized a non transversable stenosis, with erythematous mucosa and neovessels. Biopsies confirmed metastases of colorectal adenocarcinoma in both cases. Intraductal biliary growthis an exceptional localization of CRC metastases and differentiating it from cholangiocarcinoma is a diagnostic challenge in which cholangioscopy is a very valuable tool. [1] [2] [3]

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/36e7d114-6f64-4f91-85c9-609a3b903a0a/Uploads/13821_video_completo%20(1).mp4

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024

• References

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