Eosinophilic Cholangitis and Wirsungitis as Cause of Simultaneous Bile Duct Obstruction and Pancreatitis

Kroemer, A. and Sabet-Baktach, M. and Doenecke, A. and Ruemmele, P. and Scherer, M. N. and Schlitt, H. J. and Breidert, M. (2012) Eosinophilic Cholangitis and Wirsungitis as Cause of Simultaneous Bile Duct Obstruction and Pancreatitis. ZEITSCHRIFT FUR GASTROENTEROLOGIE, 50 (8). pp. 766-770. ISSN 0044-2771, 1439-7803

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Abstract

Eosinophilic cholangitis is a rare clinical entity characterised by transmural eosinophilic infiltration of the biliary system. The aetiology of this disease is still unclear. We report on a 49-year-old male patient who presented with symptoms of obstructive jaundice and imaging suggestive for periampullary carcinoma. After partial pancreatoduodenectomy for suspected pancreatic cancer, pathology revealed massive eosinophilic cholecystitis as well as intra- and extrahepatic eosinophilic cholangitis with pseudopolypoid papillary lesions. Our case illustrates the diagnostic pitfalls in eosinophilic cholangitis as careful imaging procedures - optimally interdisciplinary - should be considered and performed in such patients. In conclusion, eosinophilic cholangitis is an uncommon, inflammatory condition that needs to be considered as a differential diagnosis for periampullary malignancies.

Item Type: Article
Uncontrolled Keywords: HYPEREOSINOPHILIC SYNDROME; SCLEROSING CHOLANGITIS; GASTROENTERITIS; JAUNDICE; INFILTRATION; DISEASE; biliary obstruction; eosinophilic cholangitis; pancreatitis; pancreatic cancer
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 May 2020 06:33
Last Modified: 07 May 2020 06:33
URI: https://pred.uni-regensburg.de/id/eprint/18325

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