A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct.
- Author:
Won Jung CHOI
1
;
Shang Soo LEE
;
Se Hui NOH
;
Yoon Hee CHUN
;
Ji Hee YU
;
Sung Koo LEE
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. ssleedr@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Biliary IPN;
Hemobilia;
Cholangioscopy
- MeSH:
Abdominal Pain;
Adenocarcinoma, Papillary;
Bile;
Bile Ducts;
Cholangiography;
Cholangitis;
Dilatation;
Epithelium;
Hemobilia;
Hemorrhage;
Humans;
Jaundice;
Magnetic Resonance Spectroscopy;
Middle Aged;
Rare Diseases
- From:Korean Journal of Medicine
2009;77(3):338-342
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. The common clinical manifestations are recurrent abdominal pain, jaundice, and acute cholangitis. We report a case of hemobilia caused by biliary IPN. A 59-year-old man was referred to our hospital because of hemobilia of unknown origin. Computed tomography and magnetic resonance cholangiography revealed dilatation of the S6 segmental duct with an ovoid-shaped intraductal mass. Percutaneous transhepatic cholangioscopy showed multiple papillary masses with bleeding in the S6 segmental duct. The patient underwent a right lobectomy, and the pathology revealed a well differentiated intraductal papillary adenocarcinoma.
