Extrahepatic Mucinous Biliary Cystadenoma: A Case Report
Autor: | Shymaa A Basager, Manal H Alshammari, Bandar R Bakhurji, Manar Bamashmoos, Amani Mohammed Hakami |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Common bile duct Exploratory laparotomy business.industry medicine.medical_treatment Biliary Cyst General Engineering medicine.disease Gastroenterology Cystic lesion medicine.anatomical_structure biliary cystadenoma Internal medicine General Surgery medicine Pathology Choledochal cysts Differential diagnosis business Mucinous cystadenoma obstructive jaundice Biliary cystadenoma |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Biliary cysts refer to cystic dilatation in the biliary ductal system that may be congenital or acquired. Extrahepatic biliary cysts constitute less than 10% of biliary cysts. Extrahepatic mucinous cystadenoma represents an extremely rare clinical condition with less than 100 cases reported in the English medical literature. Herein, we report the case of a middle-aged woman who presented with a clinical picture of cholestatic jaundice. Laboratory findings revealed elevated bilirubin and alkaline phosphatase. After a thorough investigation, she was found to have a cystic lesion in the common bile duct near the cystic duction site. The patient underwent exploratory laparotomy, which revealed a 2.0 × 2.0 cm cystic lesion in the common bile duct that is exerting an obstructive effect on the biliary ducts. Complete en-block excision of the cystic lesion was performed with Roux-en-Y hepaticojejunostomy reconstruction. Histopathological examination revealed mucinous biliary cystadenoma. Although very rare, biliary cystadenoma should be kept in mind as a differential diagnosis of cholestatic jaundice particularly in patients with no history of biliary stones or cholecystectomy. |
Databáze: | OpenAIRE |
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