Def...it is characterisd by development of multiple stricture, dilatation of CBD with features of fibrous thickening of CBD
¤ Types
1. Primary
no cause is found but occurs with folowing conditions
e.g. Ulcerative colitis, crohns dis,graves dis, sjogrens syndrom
2. Secondary
due to stones or injuries
¤Complications
due 2 long standing obstruction biliary cirrhosis and cholaniocarcinoma develop
¤Diagnosis
1. Ultrasound 4 intrahepatic dialation
2. MRCP shows multiple strictures and dilatation
3. ERCP is d invst. of choice shows strictures in d CBD and dilation whch described as beaded appearance
¤Rx.
Stenting is the choice
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