Author/Authors :
Öter, Volkan Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Gastroenterological Surgery, Turkey , Özer, İlter Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Gastroenterological Surgery, Turkey , Ulaş, Murat Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Gastroenterological Surgery, Turkey , Dalgıç, Tahsin Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Gastroenterological Surgery, Turkey , Keklik, Tülay Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Pathology, Turkey , Bostancý, Erdal Birol Turkiye Yuksek Ihtisas Teaching and Research Hospital - Department of Gastroenterological Surgery, Turkey
Abstract :
Malignant biliary tract intraductal papillary mucinous neoplasms (BT-IPMN) is a relatively raredisease. A 47-year-old male patient presented with pain and sensitivity on the right upper quadrantof abdomen. Abdominal tomography revealed marked dilatation of the intra-hepatic andextrahepatic bile ducts and polypoid intraluminal mass in the distal extrahepatic bile duct. ERCPwas performed and the distal common bile duct brush biopsy was taken. Biopsy revealed IPMNwith high grade dysplasia (intraductal papillary mucinous carcinoma in-situ). Patient underwentresection of the extrahepatic bile duct with Roux-en-Y hepaticojejunostomy. Patient wasdischarged on postoperative seventh day. He has been regularly followed at our outpatientdepartment with no evidence of recurrence. A very rare variant of bile duct carcinoma is distalextrahepatic bile duct papillary neoplasm. Papillary cholangiocarcinoma is believed to show abetter prognosis if early detected. It is important to make a precise diagnosis of BT-IPMN and toperform complete surgical resection.
NaturalLanguageKeyword :
Intraductal papillary mucinous neoplasm , biliary tract , papillary , mucinous
