{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T04:25:04Z","timestamp":1784262304458,"version":"3.55.0"},"reference-count":7,"publisher":"Vilnius University Press","issue":"1","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.15388\/amed.2021.29.1.2","type":"journal-article","created":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T06:17:49Z","timestamp":1643005069000},"page":"112-117","source":"Crossref","is-referenced-by-count":4,"title":["Embryonal Rhabdomyosarcoma of the Biliary Tree as a Differential in a Paediatric Patient Presenting with Biliary Dilatation: Not Always a Choledochal Cyst"],"prefix":"10.15388","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3763-9089","authenticated-orcid":false,"given":"Tara Prasad","family":"Tripathy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yashwant","family":"Patidar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7175-5203","authenticated-orcid":false,"given":"Karamvir","family":"Chandel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annapoorani","family":"Varadarajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikrant","family":"Sood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalini","family":"Thapar Laroia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6097","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"ref0","unstructured":"Mahomed N, van Wyk M, Pather S. An unusual presentation of an intra- abdominal rhabdomyosarcoma. SAJCH. 2011;5(2):60-62."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Kumar V, Chaudhary S, Kumar M, Gangopadhyay AN. Rhabdomyosarcoma of biliary tract- a diagnostic dilemma. Indian J Surg Oncol. 2012;3(4):314-316. doi: https:\/\/doi.org\/10.1007\/s13193-012-0186-7","DOI":"10.1007\/s13193-012-0186-7"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Kinariwala DJ, Wang AY, Melmer PD, McCullough WP. Embryonal rhabdomyosarcoma of the biliary tree: A rare cause of obstructive jaundice in children which can mimic choledochal cysts. Indian J Radiol Imaging. 2017;27(3):306-309. doi: https:\/\/doi.org\/10.4103\/ijri.IJRI_460_16","DOI":"10.4103\/ijri.IJRI_460_16"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Rudzinski ER, Anderson JR, Hawkins DS, Skapek SX, Parham DM, Teot LA. The World Health Organization Classification of Skeletal Muscle Tumors in Pediatric Rhabdomyosarcoma: A Report From the Children's Oncology Group. Arch Pathol Lab Med. 2015;139(10):1281-1287. doi: https:\/\/doi.org\/10.5858\/arpa.2014-0475-OA","DOI":"10.5858\/arpa.2014-0475-OA"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Cramer SL, Miller AL, Pressey JG, et al. Pediatric Anaplastic Embryonal Rhabdomyosarcoma: Targeted Therapy Guided by Genetic Analysis and a Patient-Derived Xenograft Study. Front Oncol. 2018; 7:327. Published 2018 Jan 11. doi: https:\/\/doi.org\/10.3389\/fonc.2017.00327","DOI":"10.3389\/fonc.2017.00327"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Kitagawa N, Aida N. Biliary rhabdomyosarcoma. Pediatr Radiol. 2007;37(10):1059. doi: https:\/\/doi.org\/10.1007\/s00247-007-0531-0","DOI":"10.1007\/s00247-007-0531-0"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Mathew D, de Lima H, Mahomed N. Embryonal rhabdomyosarcoma of the biliary tree in a paediatric patient - A rare cause of obstructive jaundice. SA J Radiol. 2019;23(1):1662. Published 2019 Jan 10. doi: https:\/\/doi.org\/10.4102\/sajr.v23i1.1662","DOI":"10.4102\/sajr.v23i1.1662"}],"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/24307\/24870","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/24307\/24871","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/24307\/24871","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/24307\/24870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T09:56:36Z","timestamp":1754301396000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/view\/24307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,24]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,11]]}},"URL":"https:\/\/doi.org\/10.15388\/amed.2021.29.1.2","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1,24]]}}}