Year : 2021 Month : December Volume : 10 Issue : 45 Page : 4062-4064,

Botryoid Rhabdomyosarcoma of Biliary Tree - An Unusual Presentation of Obstructive Jaundice in a Child

Jayalatha Nethagani1, Dhinesh Ram2, Priyanka Govula3, Sridhar Devu4, Sai Sree Harsha Varada5

1, 2, 4 Department of Radiology, MNJ Institute of Oncology and Regional Cancer Center, Hyderabad, Telangana, India.
3,5 Department of Radiology, Osmania Medical College, Hyderabad, Telangana, India.

CORRESPONDING AUTHOR

Dr. Jayalatha Nethagani, MNJ Institute of Oncology and Regional Cancer Center, Red Hills Road, Lakdikapul, Hyderabad-500004, Telangana, India.
Email : jayanethagani@gmail.com

PRESENTATION OF CASE

A 5-year-old male child presented with complaints of abdominal pain, swelling, yellowish discoloration of eyes and altered stools for 4 months. No h/o fever/similar complaints in family/recent vaccinations/recent travel/blood transfusion. Normal vaccination for age.

 

Ultrasound


Subsequently contrast enhanced computed tomography (CECT) of the patient was done and it showed – ill-defined heterogeneously enhancing mass lesion measuring 68 mm x 50 mm x 70 mm at the level of confluence of right and left hepatic duct with upstream dilatation of intra-hepatic biliary radicles. Lesion is seen encasing portal vein, hepatic artery with no evidence of tumour thrombosis. Moderate ascites, few heterogeneously enhancing nodules in peri-portal region and few enlarged lymph nodes noted at porta hepatis was observed.