Primary Sclerosing Cholangitis: Diagnosis, Prognosis, and Management

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Presentation transcript:

Primary Sclerosing Cholangitis: Diagnosis, Prognosis, and Management Siddharth Singh, Jayant A. Talwalkar Clinical Gastroenterology and Hepatology Volume 11, Issue 8, Pages 898-907 (August 2013) DOI: 10.1016/j.cgh.2013.02.016 Copyright © 2013 AGA Institute Terms and Conditions

Figure 1 Typical cholangiographic findings of PSC. (A) MRCP showing multiple strictures and dilatations of the biliary tree, affecting the intrahepatic and extrahepatic biliary tree. (B) ERCP with typical findings of pruning and beaded appearance of the biliary tree. Clinical Gastroenterology and Hepatology 2013 11, 898-907DOI: (10.1016/j.cgh.2013.02.016) Copyright © 2013 AGA Institute Terms and Conditions

Figure 2 (A) Classic onion-skin fibrosis, causing obliteration of the bile ducts in PSC. (B) Ductopenia, without onion-skinning fibrosis in small-duct PSC. Photographs courtesy of Thomas Smyrk, MD, Department of Pathology, Mayo Clinic, Rochester, MN. Clinical Gastroenterology and Hepatology 2013 11, 898-907DOI: (10.1016/j.cgh.2013.02.016) Copyright © 2013 AGA Institute Terms and Conditions