Tubular Adenoma of the Common Bile Duct: Endoscopic Diagnosis and Treatment.
- Author:
Jin Hyuck CHANG
1
;
Dong Ki LEE
;
Tae Woong NO
;
Min Su KIM
;
Kuen Man LEE
;
Se Joon LEE
;
Sang In LEE
;
Seok Woo YANG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. dklee@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Common bile duct;
Tubular adenoma;
Percutaneous transhepatic cholangioscopic polypectomy
- MeSH:
Adenoma*;
Aged, 80 and over;
Biliary Tract;
Cholangiography;
Common Bile Duct*;
Diagnosis*;
Humans;
Korea;
Liver Function Tests;
Male;
Rare Diseases;
SNARE Proteins;
Ultrasonography
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(3):193-197
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary adenoma of the common bile duct is a rare disease found in biliary tract encounterd in biliary mass lesion, and it is difficult to differentiate from their malignant counterparts. Symptoms and signs of these tumors can mimic choleliathiasis and malignant tumors. Therefore, this tumor is rarely diagnosed preoperatively. In addition, there has been no reported case of a tubular adenoma of the common bile duct in Korea, until recently. We experienced a case of tubular adenoma of the common bile duct, which was diagnosed and partially resected by percutaneous transhepatic cholangioscopy. The patient was a 84-year-old male who showed abnormal liver function test. Abdominal ultrasonography showed a dilated common bile duct, and a soft tissue was observed on endoscopic retrograde cholangiography. This was initially thought as a stone, but it became partially detachable from the common bile duct during an endoscopic retrograde cholangioscopic basket removal. The mass lesion was partially resected by a percutaneous transhepatic cholangioscopic snare. This resected tissue was confirmed as a tubular adenoma.
