Advanced Endoscopy Fellows Program | September 2022-Biliary Video Case Based Discussion #3

Biliary Video Case Based Discussion #3

Video Transcription

Video Summary

In this video, a case of a 61-year-old gentleman with yellow skin, itching, fatigue, and weight loss is discussed. The patient had a significant hyperbilirubinemia and was found to be COVID-19 positive. Initial imaging showed thickening of the bile duct and gallbladder wall. Differential diagnosis included malignancy, but the ERCP did not show a pronounced stricture. The patient's symptoms worsened, and further tests revealed elevated levels of IgG4, confirming a diagnosis of IgG4-related cholangiopathy. The patient was started on corticosteroids and showed a marked response with a decrease in bilirubin levels. The association between COVID-19 and the development of cholangiopathy was discussed.

Asset Subtitle

Ashley Faulx, PrabhleenChahal, Amy Hosmer

Keywords

yellow skin

itching

fatigue

hyperbilirubinemia

COVID-19