A rare cause of dilated bile duct incidentally detected on imaging

Kah Poh Loh, Deborah Nautsch, David Desilets, Vaibhav Mehendiratta

Research output: Contribution to journalArticle

Abstract

Adenomas involving the extrahepatic bile ducts are rare benign tumours of the biliary tract. Given the asymptomatic nature of these tumours and the natural progression of biliary adenoma to carcinoma including cholangiocarcinoma, early detection is challenging. We present a case of an octogenarian woman with a remote history of gallstones who initially presented to the gastroenterology of fice for an incidental finding of biliary dilation, and whose subsequent imagings and biopsy suggested common bile adenoma. However, the patient was deemed a poor surgical candidate for pancreaticoduodenectomy, and unfortunately represented 5 months later with findings suggesting cholangiocarcinoma. This case provides a unique opportunity to study the natural progression of biliary adenoma to cholangiocarcinoma.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - May 23 2014
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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