Embryonal Rhabdomyosarcoma of the Biliary Tree as a Differential in a Paediatric Patient Presenting with Biliary Dilatation: Not Always a Choledochal Cyst
Case studies
Tara Prasad Tripathy
Department of Radiodiagnosis, AIIMS, Bhubaneswar, India
https://orcid.org/0000-0003-3763-9089
Yashwant Patidar
Department of Interventional Radiology, Institute of Liver & Biliary Sciences, India
Karamvir Chandel
Department of Intervention Radiology, Institute of Liver & Biliary Science, India
https://orcid.org/0000-0002-7175-5203
Annapoorani Varadarajan
Department of pathology, Institute of Liver & Biliary Sciences, India
Vikrant Sood
Department of Pediatric hepatology, Institute of Liver & Biliary Sciences, India
Shalini Thapar Laroia
Department of Radiology, Institute of Liver & Biliary Sciences, India
Published 2022-01-24
https://doi.org/10.15388/Amed.2021.29.1.2
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Keywords

biliary rhabdomyosarcoma
choledochal cyst
diffusion weighted imaging

How to Cite

1.
Tripathy TP, Patidar Y, Chandel K, Varadarajan A, Sood V, Thapar Laroia S. Embryonal Rhabdomyosarcoma of the Biliary Tree as a Differential in a Paediatric Patient Presenting with Biliary Dilatation: Not Always a Choledochal Cyst. AML [Internet]. 2022 Jan. 24 [cited 2024 Nov. 21];29(1):112-7. Available from: https://journals.vu.lt./AML/article/view/24307

Abstract

Rhabdomyosarcoma is a soft tissue malignant musculoskeletal tumour and is the most prevalent soft-tissue sarcoma in the paediatric population. Although, Embryonal RMS of the biliary tree is a rare entity, however, it is the most common cause of paediatric malignant obstructive jaundice. We present a 4-year-old child who had symptoms of obstructive jaundice and palpable liver. The non-contrast magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRCP) features were consistent with choledochal cyst. However, contrast enhanced computed tomography and PET CT images revealed biliary RMS as the differential diagnosis. Percutaneous biopsy followed by histopathology confirmed the diagnosis of embryonal biliary RMS. Since embryonal rhabdomyosarcoma is uncommonly recorded in the literature and can mimic the appearance of a choledochal cyst, this case report emphasises the necessity of keeping embryonal RMS as a differential in paediatric cases of obstructive jaundice.

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