Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction

A 63-year-old woman was admitted because of epigastric pain and obstructive jaundice. Endoscopic retrograde cholangiopancreatography and intraductal ultrasonography revealed a 25-mm papillary nodule in the middle to inferior portion of the common bile duct (CBD). Pancreaticobiliary maljunction (PBM)...

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Autores principales: Uchida, Yuichiro, Ome, Yusuke, Shimata, Keita, Nagahisa, Yoshio, Okabe, Michio, Kawamoto, Kazuyuki, Park, Tae Bum, Itoh, Tadashi, Ogasahara, Keizo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2015
Materias:
Published online: April, 2015
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427174/
https://www.ncbi.nlm.nih.gov/pubmed/25969675
http://dx.doi.org/10.1159/000381306
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author Uchida, Yuichiro
Ome, Yusuke
Shimata, Keita
Nagahisa, Yoshio
Okabe, Michio
Kawamoto, Kazuyuki
Park, Tae Bum
Itoh, Tadashi
Ogasahara, Keizo
author_facet Uchida, Yuichiro
Ome, Yusuke
Shimata, Keita
Nagahisa, Yoshio
Okabe, Michio
Kawamoto, Kazuyuki
Park, Tae Bum
Itoh, Tadashi
Ogasahara, Keizo
author_sort Uchida, Yuichiro
collection PubMed
description A 63-year-old woman was admitted because of epigastric pain and obstructive jaundice. Endoscopic retrograde cholangiopancreatography and intraductal ultrasonography revealed a 25-mm papillary nodule in the middle to inferior portion of the common bile duct (CBD). Pancreaticobiliary maljunction (PBM) was also identified. Contrast-enhanced computed tomography also showed an enhanced nodule in the CBD, and we suspected intraductal papillary neoplasm of the bile duct. We performed pylorus-preserving pancreatoduodenectomy. Postoperative pathological examination revealed an inflammatory polyp in the middle CBD. Inflammatory polyp in the bile duct is rare and there are no previous reports accompanied by PBM. PBM is a major risk factor for biliary tract cancer. Preoperative diagnosis of a benign disorder was difficult in this case.
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spelling pubmed-44271742015-05-12 Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction Uchida, Yuichiro Ome, Yusuke Shimata, Keita Nagahisa, Yoshio Okabe, Michio Kawamoto, Kazuyuki Park, Tae Bum Itoh, Tadashi Ogasahara, Keizo Case Rep Gastroenterol Published online: April, 2015 A 63-year-old woman was admitted because of epigastric pain and obstructive jaundice. Endoscopic retrograde cholangiopancreatography and intraductal ultrasonography revealed a 25-mm papillary nodule in the middle to inferior portion of the common bile duct (CBD). Pancreaticobiliary maljunction (PBM) was also identified. Contrast-enhanced computed tomography also showed an enhanced nodule in the CBD, and we suspected intraductal papillary neoplasm of the bile duct. We performed pylorus-preserving pancreatoduodenectomy. Postoperative pathological examination revealed an inflammatory polyp in the middle CBD. Inflammatory polyp in the bile duct is rare and there are no previous reports accompanied by PBM. PBM is a major risk factor for biliary tract cancer. Preoperative diagnosis of a benign disorder was difficult in this case. S. Karger AG 2015-04-09 /pmc/articles/PMC4427174/ /pubmed/25969675 http://dx.doi.org/10.1159/000381306 Text en Copyright © 2015 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: April, 2015
Uchida, Yuichiro
Ome, Yusuke
Shimata, Keita
Nagahisa, Yoshio
Okabe, Michio
Kawamoto, Kazuyuki
Park, Tae Bum
Itoh, Tadashi
Ogasahara, Keizo
Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title_full Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title_fullStr Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title_full_unstemmed Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title_short Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction
title_sort inflammatory polyp in the common bile duct with pancreaticobiliary maljunction
topic Published online: April, 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427174/
https://www.ncbi.nlm.nih.gov/pubmed/25969675
http://dx.doi.org/10.1159/000381306
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