Sclerosing Cholangitis: Clinicopathologic Features, Imaging Spectrum, and Systemic Approach to Differential Diagnosis
서니은, 김소연, 이승수, 변재호, 김진희, 김형중, 이문규,
소속 상세정보
서니은 ( Seo Ni-Eun )
Yonsei University College of Medicine Severance Hospital Department of Radiology
김소연 ( Kim So-Yeon )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
이승수 ( Lee Seung-Soo )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
변재호 ( Byun Jae-Ho )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
김진희 ( Kim Jin-Hee )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
김형중 ( Kim Hyoung-Jung )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
이문규 ( Lee Moon-Gyu )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology and Research Institute of Radiology
KMID : 0880420160170010025
Abstract
Sclerosing cholangitis is a spectrum of chronic progressive cholestatic liver disease characterized by inflammation, fibrosis, and stricture of the bile ducts, which can be classified as primary and secondary sclerosing cholangitis. Primary sclerosing cholangitis is a chronic progressive liver disease of unknown cause. On the other hand, secondary sclerosing cholangitis has identifiable causes that include immunoglobulin G4-related sclerosing disease, recurrent pyogenic cholangitis, ischemic cholangitis, acquired immunodeficiency syndrome-related cholangitis, and eosinophilic cholangitis. In this review, we suggest a systemic approach to the differential diagnosis of sclerosing cholangitis based on the clinical and laboratory findings, as well as the typical imaging features on computed tomography and magnetic resonance (MR) imaging with MR cholangiography. Familiarity with various etiologies of sclerosing cholangitis and awareness of their typical clinical and imaging findings are essential for an accurate diagnosis and appropriate management.
키워드
Bile ducts; Sclerosing cholangitis; CT; MRI; Differential diagnosis
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SCI(E)
MEDLINE
KCI
KoreaMed
KAMS