AI Article Synopsis
- A 75-year-old man with a history of gallstone surgery was hospitalized due to general malaise.
- Imaging revealed significant bile duct dilation and a hypervascular tumor, leading to the discovery of a filling defect in the bile duct.
- A biopsy confirmed the presence of intraductal papillary mucinous carcinoma, highlighting the effectiveness of direct cholangioscopy for diagnosis in patients with previous surgeries.
Article Abstract
A 75-year-old man who underwent choledochojejunostomy for gallstones 30 years ago was hospitalized for general malaise. Abdominal computed tomography revealed marked dilation of the intrahepatic bile duct in the right lobe and an image of a hypervascular tumor. Endoscopic retrograde cholangiography using double-balloon enteroscopy (DBE) showed a filling defect that was localized to the right hepatic bile duct. Furthermore, the scope was able to readily pass through the anastomosed site of the choledochojejunostomy and, therefore, we observed the interior of the bile duct using the same scope. We obtained an image showing a whitish, papillary-like tumor, and a biopsy of the tumor rendered the pathology of intraductal papillary mucinous carcinoma. Direct cholangioscopy using DBE is a useful diagnostic tool, particularly in patients with a past history of choledochojejunostomy.
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| http://dx.doi.org/10.1111/j.1443-1661.2010.01013.x | DOI Listing |
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