article = {SCR-2018-3-113} title = {The Great Imposture: Eosinophilic Cholangitis} journal = {Surgical Case Reports} year = {2018} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2018.03.013} url = {https://www.sciencerepository.org/the-great-imposture-eosinophilic-cholangitis_SCR-3-113 author = { Schammel David,Christine Schammel,Krishna Yamuna,Schammel Joshua,Trocha Steven,Young Allison,} keywords = {biliary obstruction, benign liver disease, cholangiocarcinoma, diagnostic algorithm, malignant versus benign} abstract ={Eosinophilic Cholangitis (EC) is a rare, benign disease often mistaken for cholangiocarcinoma as clinically and radiologically EC resembles cholangiocarcinoma. Often, extensive hepatobiliary resections for a presumed malignancy are completed; however, with appropriate diagnosis EC can be managed medically. We present two cases of EC with a comprehensive literature review and a proposed diagnostic decision algorithm for EC by which to evaluate suspicious lesions with biliary obstruction and potentially avoid surgery for this benign disease.}