A case report of cholangiectasis with cholangiocarcinoma

This is a case report of cholangiectasis with cholangiocarcinoma in a 37-year-old female. Both computed tomography (CT) and endoscopic retrograde cholangio-pancreatography (ERCP) demonstrated gallstone, and intrahepatic bile duct dilatation with the stone. The diagnosis was intrahepatic cholangiecta...

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Published inGan to kagaku ryoho Vol. 38; no. 12; p. 2429
Main Authors Nagata, Tomoyuki, Ikoma, Hisashi, Komiyama, Sousuke, Nishio, Minoru, Murayama, Yasutoshi, Komatsu, Shuuhei, Shiozaki, Atsushi, Kuriu, Yoshiaki, Nakanishi, Masayoshi, Ichikawa, Daisuke, Fujiwara, Hitoshi, Okamoto, Kazuma, Ochiai, Toshiya, Sakakura, Chouhei, Kokuba, Yukihito, Sonoyama, Teruhisa, Otsuji, Eigo
Format Journal Article
LanguageJapanese
Published Japan 01.11.2011
Subjects
Adult
Bile Duct Diseases - complications
Bile Duct Diseases - pathology
Bile Duct Neoplasms - complications
Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - surgery
Bile Ducts, Intrahepatic - pathology
Cholangiocarcinoma - complications
Cholangiocarcinoma - pathology
Cholangiocarcinoma - surgery
Cholelithiasis - complications
Cholelithiasis - pathology
Female
Humans
Remission Induction
Tomography, X-Ray Computed
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Summary:This is a case report of cholangiectasis with cholangiocarcinoma in a 37-year-old female. Both computed tomography (CT) and endoscopic retrograde cholangio-pancreatography (ERCP) demonstrated gallstone, and intrahepatic bile duct dilatation with the stone. The diagnosis was intrahepatic cholangiectasis without common bile duct-dilatation. Hepatectomy of segment 3 with resection of the extrahepatic bile duct and reconstruction of the biliary tract was performed. Upon pathological examination, an early stage of cholangiocarcinoma was pointed out within the small range of common bile duct without dilatation or stone. Cholangiocarcinoma with cholangiectasis has been reported to be induced by counter flow of pancreas and intestinal juice because of the pancreaticobiliary maljunction. So we usually choose a diversion operation as our tactics to get rid of the counter flow of those digestive juices. Despite the above-mentioned tendency, this is a very rare case of carcinogenesis in common bile duct without dilatation.
ISSN:0385-0684