Adenomyoma of the common bile duct.
- Author:
Ung Gill JEONG
1
;
Jong Gill JEONG
;
Nam Hyun YOON
;
Jae Hong JANG
;
Mi Ok PARK
;
Im Gwan JOO
Author Information
1. Department of Surgery, Yochon Chonnam Hospital.
- Publication Type:Case Report
- Keywords:
adenomyoma;
common bile duct
- MeSH:
Adenomyoma*;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct*;
Dilatation;
Female;
Hepatitis B, Chronic;
Humans;
Liver Function Tests;
Muscle, Smooth;
Tomography, X-Ray Computed
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2001;5(1):175-178
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A fifty year old Korean female was admitted with a few months history of general malaise. On admission, positive HBs Ag, negative HBs Ab and HBe Ag was negative. The liver function tests showed AST 274 U/L, ALT 126 U/L, CEA 1.87 ng/ml. With the clinical impression of chronic hepatitis B, abdominal CT and ERCP were performed and demonstrated a narrowing of the distal common bile duct suggesting a malignant etiology. The Whipple's procedure was done. The intraoperative finding revealed neoplastic involvement of the distal 1 cm of the common bile duct with severe narrowing and proximal dilatation. Microscopic findings demonstrated cystically dilated ductular structures and intervening irregular hypertrophic smooth muscle bundles.
