A case of adenomyoma in distal common bile duct.
- Author:
Sun YANG
1
;
Sung Ook OH
;
Jun Am SHIN
;
Sin Sil PARK
;
Young Jae OH
;
Kee Taek JANG
;
Kyu Taek LEE
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ktcool.lee@samsung.com
- Publication Type:Case Report
- Keywords:
Adenomyoma;
Common bile duct neoplasms
- MeSH:
Abdominal Pain;
Adenomyoma*;
Bile Ducts, Extrahepatic;
Common Bile Duct Neoplasms;
Common Bile Duct*;
Gastrointestinal Tract;
Pancreaticoduodenectomy;
Pylorus
- From:Korean Journal of Medicine
2007;72(2):217-221
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenomyoma is a nonneoplastic lesion that can be found anywhere in the gastrointestinal tract, but it's rarely found in the extrahepatic bile duct. To the best of our knowledge, it is a completely benign lesion, but making a clear distinction from malignancy on preoperative evaluation is very difficult. Its clinical importance mainly lies in the possibility that they may be confused with carcinoma, leading to unnecessarily extensive surgical resections. We report here on a case of distal common bile duct adenomyoma that presented with right upper quadrant abdominal pain, and the preoperative examinations could not reveal whether the tumor was benign or malignant. It was finally diagnosed by histological examination after performing pylorus preserving pancreaticoduodenectomy.