PancreasStricturesObstructionCysticGallstonesCholedochal cystsCholangiocarcinomaBenignPancreatic cystsTumorsStonesCongenitalCancerUltrasoundDrainageSmall intestineEtiologyCholangitisDamage to the bile ductsExtrahepatic Bile DuctPolypsRemove the pancreaticIntrahepatic bileERCPSymptomsCause bilePancreatitisEndoscopicSurgeryFlow of bileSurgeriesLiver cystHydatid cystsHepatic cystsFluidAcuteRight hepatic ductDevelopmentalPrimaryCarcinomaHepatocellularDilatationSurgicalBiliary ductIsoattenuating massesUltrasonography
Pancreas15
- Malignant strictures are usually the result of either a primary bile duct cancer (ie, causing a narrowing of the bile duct lumen and obstructing the flow of bile) or extrinsic compression of the bile ducts by a neoplasm in an adjacent organ, such as the gallbladder, pancreas, or liver (see image below). (medscape.com)
- Research led by investigators at Washington University School of Medicine in St. Louis has taken a step toward identifying the cysts in the pancreas that are likely to become cancerous. (wustl.edu)
- Cysts in the pancreas sometimes develop into the invasive cancer, depending on the type of cyst, but such growths often are not cancerous, creating a quandary for physicians who spot them via CT and MRI scans. (wustl.edu)
- The common bile duct moves through the pancreas and into the small intestine. (mesothelioma.net)
- A primary tumor may grow in the intrahepatic ducts, just outside the liver, or the ducts that run through the pancreas and small intestines. (mesothelioma.net)
- Harry Aslanian, MD, is known for his highly advanced skills in using specialized endoscopic techniques and technology to treat gastrointestinal disorders of the pancreas, bile duct, esophagus, stomach, small bowel, and colon. (ynhh.org)
- Dr. Aslanian has expertise in evaluating and treating gastrointestinal disorders including pancreas cysts and masses, bile duct stones, Barrett's esophagus, endoscopic treatment (POEM) for achalasia, and endoscopic stenting of blockages of the intestine and bile duct. (ynhh.org)
- He uses an endoscope, a thin tube attached to a magnified camera, often with an ultrasound probe at its tip, to examine the intestine, bile duct, pancreas, and surrounding structures for accurate diagnosis. (ynhh.org)
- The Hepatobiliary and Pancreatic Surgery (HPB) Program provides state-of-the-art treatment for patients with primary and metastatic cancers of the liver, gallbladder, bile duct and pancreas. (calcuttayellowpages.com)
- Gallstones or cysts in the bile ducts (choledochal cyst), narrowing of the bile ducts (bile duct strictures), pancreatitis (inflammation of the pancreas). (singhealth.com.sg)
- Cancerous tumours in the pancreas, bile duct, gallbladder and liver. (singhealth.com.sg)
- Also, it should be noted that the feline duodenum reportedly contains 100 times more bacteria than in the canine duodenum, and that vomiting caused by a single organ abnormality may give rise to a reflux of the bacteria-rich duodenum juice into the two duct systems to the liver and pancreas. (vin.com)
- The Hepato-Pancreato-Biliary (HPB) system refers to the organs involved in the production, storage, and transportation of digestive fluids, including the liver, pancreas, and bile ducts. (cmcdubai.ae)
- ERCP (endoscopic retrograde cholangiopancreatography) is a procedure used to diagnose and treat diseases of the liver, pancreas, and bile ducts. (cmcdubai.ae)
- Surgeons at Poplar Bluff Regional Medical Center provide care to patients with diseases of the pancreas, liver, gallbladder and bile ducts. (pbrmc.com)
Strictures16
- However, not all bile duct strictures are benign. (medscape.com)
- Nonetheless, both benign and malignant bile duct strictures can be associated with distressing symptoms and excessive morbidity. (medscape.com)
- Strictures of the bile duct can be benign or malignant. (medscape.com)
- Benign strictures develop when the bile ducts are injured in some way. (medscape.com)
- Depending on the nature of the insult, bile duct strictures can be single or multiple. (medscape.com)
- Atrophy of the hepatic segment or lobe drained by the involved bile ducts, associated with hypertrophy of the unaffected segments, can occur, especially with chronic high-grade strictures. (medscape.com)
- Most strictures after a laparoscopic procedure are short and occur more commonly in the common hepatic duct (ie, distal to the confluence of the right and left hepatic ducts). (medscape.com)
- The causes of benign bile duct strictures are usually surgical inexperience, failure to recognize abnormal biliary anatomy and congenital anomalies, acute inflammation, misplacement of clips, excessive use of cautery, and excessive dissection around the major bile ducts, resulting in ischemic injury. (medscape.com)
- Bile duct strictures can also occur as unexpected complications after other surgeries, such as gastrectomy, pancreatic surgery, or hepatic and portal vein surgery. (medscape.com)
- In the absence of symptoms of the primary disease, most patients with bile duct strictures remain asymptomatic until the lumen of the bile duct is sufficiently narrowed to cause resistance to the flow of bile. (medscape.com)
- The etiology of bile duct strictures is sometimes obvious at the time of presentation. (medscape.com)
- This history provides valuable clues regarding the underlying disease and may prove useful in guiding management of patients with bile duct strictures. (medscape.com)
- Asymptomatic patients with bile duct strictures may have unremarkable physical examination findings. (medscape.com)
- Patients with a major surgical injury to the bile duct and those with recurrent strictures and interventions may have evidence of a bile leak in the form of a biliary fistula, biliary peritonitis, or a biloma. (medscape.com)
- Primary Sclerosing Cholangitis (PSC) Primary sclerosing cholangitis (PSC) is patchy inflammation, fibrosis, and strictures of the bile ducts that has no known cause. (merckmanuals.com)
- The program also treats benign disease including cysts, biliary strictures and bile duct injuries. (calcuttayellowpages.com)
Obstruction8
- Cholangitis occurs in the presence of partial or complete obstruction of the common bile duct (CBD), with increased intraluminal pressures, bacterial infection of the bile with multiplication of the organisms within the duct, and seeding of the bloodstream with bacteria or endotoxin. (medscape.com)
- Choledochal cysts can lead to obstruction in bile flow. (sgh.com.sg)
- Gallbladder and bile duct tumors can cause extrahepatic biliary obstruction. (merckmanuals.com)
- Mechanical bile drainage can often relieve pruritus, recurrent sepsis, and pain due to biliary obstruction. (merckmanuals.com)
- Endoscopic stenting is also sometimes necessary as a temporary measure to relieve the bile duct obstruction and clear any bacterial infection before definitive surgery. (singhealth.com.sg)
- The histopathological examination con- case, ultrasonography and tomography found several reports using the keywords firmed a hydatid cyst by demonstrating revealed a simple cyst with well-defined "ureteral obstruction" and "hydatid", but protoscolex within. (who.int)
- 2.5-3 mg/dL) cause jaundice and can be classified into different anatomical sites of pathology: prehepatic (increased bilirubin production), hepatic (liver dysfunction), or posthepatic (duct obstruction). (medscape.com)
- Progressive destruction or the absence of all or part of the extrahepatic BILE DUCTS, resulting in the complete obstruction of BILE flow. (bvsalud.org)
Cystic9
- Choledochal cysts are abnormal cystic dilatation of the bile duct. (sgh.com.sg)
- Cystic disease of the intra and extrahepatic bile ducts occurs in various combinations. (vesalius.com)
- The common bile ducts are where these smaller ducts connect with the cystic duct outside the liver. (mesothelioma.net)
- With cystic tumors, as with simple cysts, LFT results are normal. (medscape.com)
- A practical problem in the evaluation of a patient with a cystic hepatic lesion is differentiating cystic neoplasms from simple cysts. (medscape.com)
- Cystic neoplasms tend to have thicker, irregular, hypervascular walls, whereas simple cysts tend to be thin-walled and uniform. (medscape.com)
- Demonstration of the continuity of the cystic lesions with the bile ducts is paramount in diagnosis. (medscape.com)
- Before making a decision about the cystic lesion was approached by the ligament hydatid cyst. (who.int)
- were no vesicles or necrotic areas in the A clear border is seen between the cyst and the liver (R = right rectus abdominis muscle) cystic mass. (who.int)
Gallstones1
- It involves the use of an endoscope (a flexible tube with a camera) and contrast dye to visualize the HPB system and may be used to remove gallstones or to place stents in the bile ducts. (cmcdubai.ae)
Choledochal cysts1
- Choledochal cysts have a 15% chance of developing malignancy and should be resected. (vesalius.com)
Cholangiocarcinoma12
- Cholangiocarcinoma (CCA) is a rare cancerous (malignant) growth in one of the ducts that carries bile from the liver to the small intestine. (medlineplus.gov)
- Bile duct cancer (cholangiocarcinoma) treatment (PDQ) -- health professional version. (medlineplus.gov)
- Cholangiocarcinoma is bile duct cancer, a serious and potentially life-threatening type of cancer. (mesothelioma.net)
- Cholangiocarcinoma is a cancer of the bile ducts. (mesothelioma.net)
- When cancer originates in these ducts, it is referred to as cholangiocarcinoma. (mesothelioma.net)
- When the cancer begins in the ducts inside the liver it is called intrahepatic cholangiocarcinoma. (mesothelioma.net)
- Extrahepatic cholangiocarcinoma occurs in ducts outside of the liver, closest to the small intestine. (mesothelioma.net)
- Cancer in bile ducts outside but closer to the liver is called hilar cholangiocarcinoma. (mesothelioma.net)
- Approximately 8,000 people per year receive a diagnosis of cholangiocarcinoma, compared to 3,000 mesothelioma diagnoses in the U.S. Bile duct cancer is more common in southeast Asia due to a parasite. (mesothelioma.net)
- One study that examined thousands of Europeans diagnosed with bile duct cancer discovered that those exposed to asbestos in the workplace were more likely to develop cholangiocarcinoma, specifically intrahepatic bile duct cancer. (mesothelioma.net)
- Intrahepatic cholangiocarcinoma, or bile duct cancer. (healthnews.com)
- Cholangiocarcinoma (CCA) is a rare cancer of the biliary duct system, which is comprised of the gallbladder and bile ducts. (cdc.gov)
Benign3
- Focal intrahepatic benign bile duct stricture after cholecystectomy. (medscape.com)
- A bile duct hamartoma or biliary hamartoma, is a benign tumour-like malformation of the liver. (wikipedia.org)
- Hydatid cyst is a parasitic infection caused mainly by E. Granulosus, which is generally considered benign. (researchsquare.com)
Pancreatic cysts8
- Surgery to remove pancreatic cysts is often complex, so there is a need for new tools to identify which such cysts are most likely to develop into cancer and which are not. (wustl.edu)
- Testing fluid from cysts for a biomarker - an antibody called mAb Das-1 - the researchers were able to identify pancreatic cysts likely to become cancerous with 95 percent accuracy. (wustl.edu)
- In an ideal world, we only would do surgery on people whose pancreatic cysts are likely to develop into cancer. (wustl.edu)
- Some 2% to 4% of patients ages 50 to 70 probably have pancreatic cysts, and that percentage increases to 8% to 9% in people over the age of 80, according to Das. (wustl.edu)
- The research team collected fluid from the cysts of 169 patients who had surgery to remove the pancreatic cysts. (wustl.edu)
- In previous research, the biomarker had been correlated with pancreatic cysts at high risk to become cancerous. (wustl.edu)
- In the new study, the researchers found that the biomarker was more accurate than any current method at predicting cancer risk in these patients with pancreatic cysts. (wustl.edu)
- The next step, Das explained, is to see whether the biomarker can identify pancreatic cysts likely to become cancerous before a patient undergoes surgery. (wustl.edu)
Tumors5
- These tumors block off the bile ducts. (medlineplus.gov)
- Tumors of the bile ducts, gallbladder, and ampulla. (medlineplus.gov)
- This is a special imaging test that helps physicians see soft tissues and tumors in the bile ducts. (mesothelioma.net)
- Cholangiocarcinomas occur predominantly in the extrahepatic bile ducts: 60 to 70% in the perihilar region (Klatskin tumors), about 25% in the distal extrahepatic ducts, and the rest in the liver. (merckmanuals.com)
- Carcinoid tumors and small-cell carcinomas of the gallbladder and extrahepatic bile ducts: a comparative study based on 221 cases from the Surveillance, Epidemiology, and End Results Program. (cancercentrum.se)
Stones6
- tx of primary duct stones? (flashcardmachine.com)
- The reason for this difference is that stones tend to harbour bacteria and cause bile duct infection, resulting in pain and fever. (singhealth.com.sg)
- Endoscopic removal of stones obstructing the bile duct is sometimes necessary prior to laparoscopic surgery to fully clear all the stones. (singhealth.com.sg)
- Decreases cholesterol content of bile and bile stones probably by reducing secretion of cholesterol from the liver and the amount reabsorbed by intestines. (medscape.com)
- Risk factors for recurrent bile duct stones after endoscopic papillary balloon dilation: long-term follow-up study. (medscape.com)
- Systematic review and meta-analysis of intraoperative versus preoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones. (medscape.com)
Congenital2
- It is a developmental abnormality of the bile duct which may be associated with some other congenital anomalies. (sgh.com.sg)
- There is no known single cause, but risk factors include liver disease and congenital bile duct abnormalities. (mesothelioma.net)
Cancer17
- Endoscopic retrograde cholangiopancreatographic cholangiogram demonstrating an isolated mid-hepatic duct stricture as a result of pancreatic cancer. (medscape.com)
- Endoscopic retrograde cholangiopancreatographic cholangiogram demonstrating a long bile duct stricture that represents external compression by gallbladder cancer. (medscape.com)
- These are sacs of bile in the bile ducts that can eventually lead to gallbladder cancer. (medicalnewstoday.com)
- Someone may also require surgery to remove parts of the bile duct, liver, and lymph nodes if the cancer has spread. (medicalnewstoday.com)
- In this image, the brown areas are stained for a biomarker in tissue from a patient who developed pancreatic cancer from a cyst. (wustl.edu)
- Some cysts have the potential to become pancreatic cancer, so there's the thought that we should err on the side of caution and remove the cysts," said first author Koushik K. Das, MD , an assistant professor of medicine in the Division of Gastroenterology at Washington University. (wustl.edu)
- A gastroenterologist, Das is using endoscopic ultrasound to distinguish patients at risk for pancreatic cancer from those whose cysts often pose no threat. (wustl.edu)
- Then, under ultrasound guidance, we can pass a needle into the cyst to collect fluid that can be tested for Das-1 and assess for cancer risk. (wustl.edu)
- How Is Bile Duct Cancer Diagnosed? (mesothelioma.net)
- If doctors suspect bile duct cancer, they may insert an endoscope through the mouth to the stomach and intestines to provide a closer view. (mesothelioma.net)
- Liver cancer is also often grouped with bile duct cancer, which forms in the tubes that carry bile from the liver and gallbladder to the intestines. (healthnews.com)
- More than 41,000 people in the U.S. are expected to be diagnosed with liver or bile duct cancer in 2022. (healthnews.com)
- Other factors may increase your chances of being diagnosed with bile duct cancer, including ulcerative colitis, bile duct cysts, or infections with certain parasites. (healthnews.com)
- Liver cancer and bile duct cancer treatments depend on your overall health and how far your cancer has spread. (healthnews.com)
- Bile duct cancer is often treated by removing the ducts, part of the liver, or surrounding tissues. (healthnews.com)
- It is also a common treatment option for bile duct cancer. (healthnews.com)
- While the common causes are related to gallstone disease, the more sinister causes are related to cancer (pancreatic cancer, bile duct cancer, or less commonly liver cancer). (singhealth.com.sg)
Ultrasound5
- It shows typical features of bile duct hamartoma: von Meyenburg Complex in ultrasound. (wikipedia.org)
- The diagnosis of choledochal cyst is usually through imaging such as ultrasound. (sgh.com.sg)
- The purpose of this study was to analyze the outcomes of the combination of ultrasound (US)-guided percutaneous external drainage and subsequent definitive operation to manage complicated choledochal cyst in children. (biomedcentral.com)
- Both abdominal ultrasound and CT scan showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. (researchsquare.com)
- Additionally, cysts containing the parasite can sometimes be detected by ultrasound, CT, or MRI. (cdc.gov)
Drainage8
- The most common variation of the hepatic ducts is drainage of the posterior division of the right draining into the left. (vesalius.com)
- This retrospective study included 6 children with choledochal cyst who underwent initial US-guided percutaneous external drainage and subsequent cyst excision with Roux-en-Y hepaticojejunostomy between January 2021 and September 2022. (biomedcentral.com)
- Four patients (4/6) had a giant choledochal cyst with the widest diameter of ≥ 10 cm and underwent US-guided percutaneous biliary drainage on admission or after conservative treatments. (biomedcentral.com)
- Our detailed analysis of this small cohort suggests that US-guided percutaneous external drainage is technically feasible for choledochal cyst with giant cysts or coagulopathy in children, which may provide suitable conditions for subsequent definitive operation with a good prognosis. (biomedcentral.com)
- Yellowing of the skin and whites of the eyes, light-coloured stools and dark urine could be signs of obstructive jaundice - a condition where normal drainage of bile from the liver to the small intestines is blocked. (singhealth.com.sg)
- When bile drainage is obstructed, bilirubin - a byproduct of red cell recycling - builds up in the liver and spills over to the bloodstream, causing the skin and whites of eyes to turn yellowish. (singhealth.com.sg)
- Malignancy can result in complete blockage of bile drainage with significant itching due to accumulation of bilirubin and malnutrition as bile is part of the digestive system. (singhealth.com.sg)
- Drainage catheters may be placed to divert bile. (medscape.com)
Small intestine2
Etiology1
- The currently acknowledged etiology of choledochal cyst is the anomalous pancreaticobiliary junction with reflux of pancreatic juice into the common bile duct and the formation of protein plugs or calculi in the bile duct [ 4 , 5 ]. (biomedcentral.com)
Cholangitis1
- Adult may present with recurrent episodes of upper abdominal pain, jaundice and cholangitis (bacterial infection of the bile duct). (sgh.com.sg)
Damage to the bile ducts1
- This results from damage to the bile ducts in your liver, causing a buildup of bile. (healthline.com)
Extrahepatic Bile Duct1
- Should the extrahepatic bile duct be resected or preserved in R0 radical surgery for advanced gallbladder carcinoma? (cancercentrum.se)
Polyps1
- Abnormal bile duct, gallbladder polyps, and typhoid are equally responsible. (calcuttayellowpages.com)
Remove the pancreatic1
- In June 2015, Mei underwent surgery in New Zealand to remove the pancreatic cyst. (fscl.org.nz)
Intrahepatic bile2
- The liver has smaller and larger ducts, called the intrahepatic bile ducts. (mesothelioma.net)
- Caroli disease is a nonobstructive dilatation of the intrahepatic bile ducts , which was first described in 1958 by the French physician Jacques Caroli. (medscape.com)
ERCP1
- In patients who are jaundiced with hydatid disease, endoscopic retrograde cholangiopancreatography (ERCP) should be performed to determine whether the cyst has ruptured into the bile duct. (medscape.com)
Symptoms2
- The vast majority of those patients have no symptoms, so when cysts are detected, doctors have to decide whether to perform surgery, knowing that a typical patient 70 years of age or older may have other unrelated serious medical problems, such as heart, lung or kidney disease, that make them less than ideal candidates for major abdominal surgery. (wustl.edu)
- Simple liver cyst with no symptoms does not require treatment. (sgh.com.sg)
Cause bile1
- It is injury to this duct and not ducts of Luschka that usually cause bile leakage from the gallbladder bed. (vesalius.com)
Pancreatitis1
- Bile duct stricture w./out hx of iliary manipulation or pancreatitis? (flashcardmachine.com)
Endoscopic2
- Endoscopic therapy with stent placement can temporarily relieve blockages in the biliary ducts. (medlineplus.gov)
- Endoscopic retrograde cholangiopancreatographic images obtained during stone removal from the hepatic ducts. (medscape.com)
Surgery7
- Although surgery is effective at removing precancerous cysts, 1% to 2% of patients who have the surgery don't survive. (wustl.edu)
- Das said those are high risks for surgery to remove cysts that could turn out to be harmless. (wustl.edu)
- Mei had surgery in China in 2006 to remove a bile duct cyst. (fscl.org.nz)
- Cyst fluid can be sent for CA 19-9 testing at the time of surgery as a marker for cystadenoma and cystadenocarcinoma. (medscape.com)
- Fifteen liver hydatid cyst cases ruptured into the abdominal cavity that underwent urgent surgery were collected over eight years. (researchsquare.com)
- Large liver cyst that cause symptom may benefit from surgical deroofing or removing part of the cyst wall, which is usually done by key hole surgery. (sgh.com.sg)
- Based on the findings, single-stage laparoscopic surgery is confirmed to aid in the diagnosis and treatment of gallbladder injury in the presence of a common bile duct cyst. (bvsalud.org)
Flow of bile1
- You may have clay-colored stools if you have a liver infection that reduces bile production, or if the flow of bile out of the liver is blocked. (mountsinai.org)
Surgeries1
- Over his 21 years, Dr. Soin has also performed more than 12000 other complex liver, gall bladder and bile duct surgeries, & is renowned for his pioneer work in establishing liver transplantation in India. (myacare.com)
Liver cyst2
- The evaluation of a patient with a simple liver cyst involves carefully recording the patient history and performing a physical examination plus an imaging study (eg, abdominal computed tomography [CT]) to define the anatomy of the cyst. (medscape.com)
- Liver Cyst - How to prevent? (sgh.com.sg)
Hydatid cysts3
- In the presence of hydatid cysts, eosinophilia is noted in approximately 40% of patients, and echinococcal antibody titers are positive in nearly 80% of patients. (medscape.com)
- Hydatid cysts can be identified by the presence of daughter cysts within a thick-walled main cavity (see the image below). (medscape.com)
- Three patients had a past medical history of hydatid cysts. (researchsquare.com)
Hepatic cysts2
- The clinician has a number of options for imaging the liver in patients with hepatic cysts. (medscape.com)
- Magnetic resonance imaging (MRI), nuclear medicine scanning, and hepatic angiography have a limited role in the evaluation of hepatic cysts. (medscape.com)
Fluid1
- Bile is a fluid the body uses to digest fats. (mesothelioma.net)
Acute2
- Rupture of a hydatid cyst in the abdominal cavity should be evoked in front of acute abdominal pain, especially in endemic areas, and in the presence of an allergic reaction or anaphylactic shock signs. (researchsquare.com)
- Fifteen cases of acute intraperitoneal rupture were collected out of 625 hydatid liver cysts. (researchsquare.com)
Right hepatic duct2
- Where does abberant posterior right hepatic duct originate? (flashcardmachine.com)
- Drawing shows the main right hepatic duct and the multiple segmental branch dilatations related to Caroli disease. (medscape.com)
Developmental1
- Bile duct hamartomas are a developmental anomaly in which abnormal tissues are present at normal site due to failure of regression of embryonic biliary duct. (wikipedia.org)
Primary1
- All patients underwent urgent surgical intervention that focused on treating the primary cyst and its complication, combined with necessary intensive care measures. (researchsquare.com)
Carcinoma1
- Cavallaro A, Cavallaro V, Di Vita M, Cappellani A. Main bile duct carcinoma management. (medscape.com)
Hepatocellular1
- It is also used for PBC since it displaces endogenous bile acids from enterohepatic circulation, stabilizes hepatocellular membranes, and reduces the abnormal expression of HLA class I and II molecules on hepatocytes. (medscape.com)
Dilatation1
- Nuclear scintigraphy also may be performed in the initial workup and can be valuable in excluding obstructive causes for intrahepatic duct dilatation that are depicted on cross-sectional images. (medscape.com)
Surgical3
- Bile duct stricture (also called biliary stricture) is an uncommon but challenging clinical condition that requires a coordinated multidisciplinary approach involving gastroenterologists, radiologists, and surgical specialists. (medscape.com)
- stenosis was considered to be symp- only 2 cases of isolated hydatid cyst of The patient's routine laboratory tests tomatic by the urologists and an open the round ligament of the liver have were normal and the echinococcosis surgical treatment was planned. (who.int)
- ing to add an extra surgical procedure found to originate directly from the Therefore a pancreatic cyst, parasitic or during a hydatid cyst operation because round ligament of the liver (ligamentum not, was a diagnostic possibility [ 12 ]. (who.int)
Biliary duct1
Isoattenuating masses1
- At CT scans, bile duct hamartomas appear as small, well-defined hypo- or isoattenuating masses with little or no enhancement after contrast administration. (wikipedia.org)
Ultrasonography2
- Before the widespread availability of abdominal imaging techniques, including ultrasonography and CT, liver cysts were diagnosed only when they grew to an enormous size and became apparent as an abdominal mass or as an incidental finding during laparotomy. (medscape.com)
- PCLD is confirmed by means of ultrasonography or CT (see the image below), with multiple liver cysts identified at the time initial of evaluation. (medscape.com)