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20 September 2023: Articles

Eosinophilic Granulomatosis with Polyangiitis Presenting as Steroid-Responsive Sclerosing Cholangitis and Cholecystitis: A Rare Case Report

Unusual clinical course

Yuhei Fujisawa B* , Yukihiro Shirota E , Tokio Wakabayashi E

DOI: 10.12659/AJCR.940990

Am J Case Rep 2023; 24:e940990

Figure 1. Radiological findings of major organ lesions. (A, B) Computed tomography (CT) scan of the chest showing predominant ground-glass opacities in the peripheral lower lobe of the right lung (square), bronchial wall thickening in the lower lobe (circle), and mucus plugs (arrow). (C, D) CT scan of the paranasal sinuses showing soft tissue densities and mucosal thickening of the nasal mucosa, predominantly in the left maxillary sinus (arrow). (E) Abdominal ultrasonogram showing circumferential thickening of the medial layer of the gallbladder wall (circle). (F) Magnetic resonance cholangiopancreatography scan showing stenosis of the common hepatic duct (arrow). (G, H) Abdominal contrast-enhanced CT scan showing diffuse wall thickening with subserosal edema that can be seen consecutively throughout the gallbladder, cystic duct, left and right hepatic ducts, and common bile duct (circle and arrow).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923