64-year-old male follow up of alcoholic liver cirrhosis with portal hypertension that
in abdominal ultrasound of hepatocarcinoma screening, was evidenced dilatation of
the intrahepatic bile duct.
The study was completed with MR cholangiography confirming findings and suggesting
the posibility of cholangiocarcinoma. ERCP was performed, demonstrating at the level
of the bilateral intrahepatic bile duct, rounded replenishment defects with cord disposition.
The cholangioscopy showed rounded and bluish ductal lesions that imprint on the biliary
lumen, with respected mucosa compatible with portal hypertension cholangiopathy. These
findings were confirmed by CT-scan, without evidence of portal thrombosis or cavernomatosis.
