Diagnosing Cholangiocarcinoma Using Cholangioscopy with Targeted Biopsies by Dr. Zayat and Dr. Nehme, Wesley Medical Center, Wichita, Kansas, U.S.A.

An 81-year-old female presented for acute onset fever, abdominal pain and jaundice secondary to acute cholangitis. Urgent ERCP with cholangiogram showed a dilated common bile duct (CBD) with a filling defect in the upper third of the main bile duct. The SpyGlass™ DS Direct Visualization System’s SpyScope™ was used to directly examine the CBD stricture.