Code |
Diagnosis |
Comment |
Score |
anonymous |
Liver - changes of sclerosing cholangitis (100%)
|
Please consider sclerosing cholangitis, primary or secondary. The
history of jaundice, fever and segmentectomy raises the possibility
of recurrent pyogenic cholangitis. Please correlate with clinical
findings, radiological results, operative findings and changes in
other histological sections.
|
100 |
anonymous |
Benign liver nodule (100%), favour focal nodular hyperplasia
|
nil
|
0 |
anonymous |
Consistent with recurrent pyogenic cholangitis. (100%)
|
The slide shows fibrosis, paucity of bile ducts, as well as periductal fibrosis. Such findings, together with the clinical history, make recurrent pyogenic cholangitis the most likely conslusion.
|
100 |
anonymous |
Vanishing bile duct syndrome (100%)
|
correlate with clinical features/ serology of sclerosing cholangitis,
recurrent pyogenic cholangitis, transplant rejection etc.
|
80 |
anonymous |
Secondary sclerosing cholangitis due to recurrent pyogenic cholangitis. 100%
|
nil
|
100 |
anonymous |
Absence of large bile duct with fibrosis around large vessels, the features are in keeping with late stage of recurrent pyogenic cholangitis. (100%)
|
Suggest clinical-radiological-endoscopic correlation.
|
100 |
anonymous |
Morphologic description: Absent large bile ducts and prominent fibrosis in large portal areas. 100%
|
History suggested lady suffered from recurrent pyogenic cholangitis. There are no active or acute cholangitic features in this section. It could be end-stage, secondary sclerosing cholangitis.
|
100 |
anonymous |
Recurrent pyogenic cholangitis (60%)
Focal nodular hyperplasia (30%)
Primary sclerosing cholangitis, segmental form (10%).
|
Correlate with clinical history, radiological and cholangiogram findings if available. A space occupying lesion favours focal nodular hyperplasia over recurrent pyogenic cholangitis.
|
100 |
anonymous |
Primary Biliary Cirrhosis 100%
|
nil
|
30 |
anonymous |
SCLEROSING CHOLANGITIS with loss of interlobular bile ducts 100%
|
Differential diagnoses include primary and acquired sclerosing cholangitis and recurrent pyogenic cholangitis. Suggest correlation with clinical and radiological findings.
|
100 |
anonymous |
Vanishing bile duct syndrome (100%)
|
Section shows paucity of intrahepatic bile ducts including absence of large segmental ducts. The corresponding large arteries show marked intimal proliferation close to endarteritis obliterans.
Possible aetiologico-pathogenetic mechanisms:
(1) Syndromic: intrahepatic biliary atresia, as suggested by absence of significant inflammation; but uncommon in this age group (usually in children)
(2) Non-syndromic: Sclerosing cholangitis - (a) immune mechanism: primary sclerosing cholangitis, autoimmune cholangitis; (b) ischemia; (C) infection: viral (EBV),etc; (d) toxic: drug-induced; (e) miscellaneous
|
50 |
anonymous |
Focal nodular hyperplasia 100%
|
nil
|
0 |
anonymous |
DDx: Recurrent pyogenic cholangitis, primary sclerosing cholangitis, hepatic adenoma. Probability: 100%
|
Correlate with radiological findings.
|
80 |
anonymous |
Focal nodular hyperplasia
|
Nil
|
0 |
anonymous |
Focal nodular hyperplasia
|
nil
|
0 |