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.
Cholangiectases - Primary sclerosing cholangitis - Endoscopic retrograde cholangiography
