Author/Authors :
Ahadi, Mitra Department of Internal Medicine - Gastroenterology and Hepatology - Mashhad University of Medical Sciences , Khosravi Khorashad, Ahmad Department of Internal Medicine - Gastroenterology and Hepatology - Mashhad University of Medical Sciences, , Saadatnia, Hassan Department of Internal Medicine - Gastroenterology and Hepatology - Mashhad University of Medical Sciences , Vosoughinia, Hassan Department of Internal Medicine - Gastroenterology and Hepatology - Mashhad University of Medical Sciences , Davachi, Behrooz Department of Radiology - Mashhad University of Medical Sciences , Farzanehfar, Mohammadreza Department of Internal Medicine - Gastroenterology and Hepatology - Mashhad University of Medical Sciences , Ghaffarzadehgan, Kamran Pathologist - Razavi Hospital , Memar, Bahram Department of Pathology - Mashhad University of Medical Sciences , Mokhtari Amirmajdi, Elham Department of medical sciences - Mashhad Branch - Islamic Azad University
Abstract :
Bile duct adenoma (BDA) is a rare neoplasm of bile ducts with various
clinical manifestations and imaging appearances. A few cases of BDA and
their predisposing factors have been described. We report a 35-year-old
woman with right upper quadrant pain who consumed oral contraceptive
pills. Ultrasound study revealed three hypoechoic subcapsular liver masses;
two of them were hypodense in computed tomography. Fine needle biopsy of
the largest mass showed bile duct adenoma. Liver masses disappeared after
discontinuing the pills over a 2-year follow-up. BDAs can manifest in imaging.
Although previous studies have not reported tumor resolution over a
follow-up period, we suggest paying more attention to predisposing factors in
order to give an opportunity for tumor resolution by risk factor elimination.
Keywords :
Follow up , Liver biopsy , Oral contraceptives , Liver mass , Bile duct adenoma
