Botryoid rhabdomyosarcoma or parasites: transnasal choledoscopy as a diagnostic tool

Şeker G., Akarsu M., Güler Y., Gülpınar Aydın Ö., Aktaş S., Öztürk Y.

ENDOSCOPY, vol.55, pp.637-638, 2023 (SCI-Expanded)

  • Publication Type: Article / Case Report
  • Volume: 55
  • Publication Date: 2023
  • Doi Number: 10.1055/a-2058-8389
  • Journal Name: ENDOSCOPY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.637-638
  • Dokuz Eylül University Affiliated: Yes


A 5-year-old girl presented with jaundice

and loss of appetite. Physical examination

revealed that she had a palpable

liver 4cm below the right costal arch.

There were no ascites, cervical adenopathy,

or splenomegaly. Laboratory values

showed elevated liver enzymes and

direct bilirubin.

After ultrasound and magnetic resonance

cholangiopancreatography examinations,

parasites and sludge were considered.

Endoscopic retrograde cholangiopancreatography

(ERCP) was initially

performed, and when adequate patency

was achieved after sphincterotomy, the

procedure was continued with a transnasal

scope. The first pathology report

showed an epithelial fragment of the

intestinal mucosa and necrobiotic material.

Cholestasis improved rapidly after

the procedure.

The common bile duct was cannulated

with a transnasal scope, biopsies were

taken, and new stents were inserted during

the second ERCP. Abdominal computed

tomography and magnetic resonance

imaging were unremarkable