Choledochal Cystadenoma

A. Hedayat; R. Sotoudehmanesh; M. Khatibian; H. Mahmoodzadeh; M. Sotoudeh

doi:10.1055/s-2005-861236

Endoscopy, Table of Contents

Endoscopy 2005; 37(5): 498
DOI: 10.1055/s-2005-861236

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Choledochal Cystadenoma

A. Hedayat¹ , R. Sotoudehmanesh² , M. Khatibian² , H. Mahmoodzadeh¹ , M. Sotoudeh³

¹Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
²Digestive Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran
³Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Abstract

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Figure 1 A 42-year-old woman presented with jaundice, right upper quadrant pain and pruritus. Laboratory test findings were: hemoglobin (Hb) 11.1; bilirubin 4.6; aspartate aminotransferase (AST) 34; alanine aminotransferase (ALT) 38; prothrombin time (PT) 16; and alkaline phosphatase 1083. Abdominal sonography revealed dilatation of the intra- and extrahepatic biliary ducts. Endoscopic retrograde cholangiopancreatography (ERCP) showed dilated bile ducts with a large lobulated filling defect in the proximal portion of the common bile duct toward the intrahepatic ducts. CBD, common bile duct; CHD, common hepatic duct.

Figure 2 During surgery a pedunculated mass lesion was seen extending from the left hepatic duct to the mid-portion of the CBD.

Figure 3 Histological investigation demonstrated a choledochal cystadenoma.

Endoscopy_UCTN_Code_CCL_1AZ_2AC

Figures

Figure 1 A 42-year-old woman presented with jaundice, right upper quadrant pain and pruritus. Laboratory test findings were: hemoglobin (Hb) 11.1; bilirubin 4.6; aspartate aminotransferase (AST) 34; alanine aminotransferase (ALT) 38; prothrombin time (PT) 16; and alkaline phosphatase 1083. Abdominal sonography revealed dilatation of the intra- and extrahepatic biliary ducts. Endoscopic retrograde cholangiopancreatography (ERCP) showed dilated bile ducts with a large lobulated filling defect in the proximal portion of the common bile duct toward the intrahepatic ducts. CBD, common bile duct; CHD, common hepatic duct.

Figure 2 During surgery a pedunculated mass lesion was seen extending from the left hepatic duct to the mid-portion of the CBD.

Figure 3 Histological investigation demonstrated a choledochal cystadenoma.