Common bile duct villous adenoma: a case report and review of the literature

Journal of Medical Case Reports
Karolis ČekasEugenijus Stratilatovas

Abstract

According to the literature, benign bile duct tumors are exceedingly uncommon. To the best of our knowledge, we report the largest extrahepatic bile duct villous adenoma described in the literature. We present a case of a 77-year-old Caucasian woman with obstructive jaundice. Laboratory tests revealed that she had elevated bilirubin and liver enzyme levels. A computed tomographic scan showed a homogeneous 5 × 3-cm mass obstructing the common bile duct. The results of brush cytology were consistent with a bile duct villous papilloma. However, on the basis of the tumor's radiological features, a preliminary diagnosis of extrahepatic bile duct malignant tumor was made. After discussion among the multidisciplinary team, a surgical resection of the bile duct tumor was performed. Histopathological examination confirmed a villous adenoma. The patient's postoperative course was uneventful. In patients with bulky extrahepatic bile duct tumors, surgical resection alone may be safe and curative.

References

Jul 11, 1992·Gastrointestinal Endoscopy·T M SturgisW Marsh
Jul 1, 1984·Cancer·S KozukaK Hachisuka
Jan 1, 1996·Journal of Clinical Gastroenterology·E BlotJ Bourreille
May 29, 2001·Journal of Clinical Pathology·C J StewartW R Murray
Oct 13, 2006·World Journal of Gastroenterology : WJG·Panagiotis KatsinelosBasilis Papaziogas
Jun 15, 2007·Journal of Clinical Ultrasound : JCU·Hui-Xiong Xu, Li-Da Chen
Aug 14, 2008·World Journal of Gastroenterology : WJG·Bum-Soo KimKwang-Ro Joo
May 21, 2013·Journal of Interventional Gastroenterology·Ehsan RafiqAli Nawras

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Citations

Jul 14, 2016·Journal of Gastrointestinal Cancer·Pallavi RaoNandita Ghosal

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Methods Mentioned

BETA
surgical resection
dissection

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