Summary
Primary sclerosing cholangitis presenting as a localized stricture affecting a segment
of the extrahepatic biliary tree is seldom found.
This article describes the case of a 56-year-old male admitted with obstructive jaundice,
in whom endoscopic retrograde cholangiography showed a localized and smooth stricture
at the common hepatic duct, initially diagnosed as cholangiocarcinoma. However, the
histological examination of the resected stricture, common bile duct and gallbladder,
and a liver biopsy performed 3.5 years later were consistent with primary sclerosing
cholangitis, affecting both the extrahepatic and intrahepatic biliary tree.
Key words:
Sclerosing cholangitis - Bile duct stricture
