AI Article Synopsis
- A 76-year-old male underwent laparoscopic cholecystectomy due to acute cholecystitis, revealing chronic cholecystitis and a thickened cystic duct.
- An anatomical pathology analysis found high-grade dysplasia at the cystic duct's distal edge, prompting an endoscopic retrograde cholangiopancreatography (ERCP) that showed a suspicious lesion near the bile duct junction.
- A follow-up surgery involved resecting the extrahepatic bile duct and lymph nodes, resulting in a definitive diagnosis of pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and confirmed free margins.
Article Abstract
We present the case of a 76-year-old male with a history of acute cholecystitis who underwent a scheduled laparoscopic cholecystectomy. Chronic cholecystitis with a thickened cystic duct was observed intraoperatively. The anatomic pathology report found high-grade dysplasia that affected the distal edge of the cystic duct. In view of these findings, an endoscopic retrograde cholangiopancreatography (ERCP) was performed with SpyGlass® and an excrescent lesion suggestive of malignancy adjacent to the cystic-common bile duct junction was observed. A resection of the extrahepatic bile duct was performed with lymphadenectomy of the hepatic hilum and hepaticojejunostomy in a subsequent procedure. The definitive pathology report confirmed pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and free margins.
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| http://dx.doi.org/10.17235/reed.2020.7122/2020 | DOI Listing |
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