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Malignancy of intraductal papillary neoplasm of the bile duct
- Publication Year :
- 2022
-
Abstract
- Intraductal papillary neoplasm of the bile duct (IPNB) is an uncommon disease which was first included in the World Health Organization classification of neoplasms in 2010. A 64-year-old female was admitted to the hospital because of a hepatic lesion incidentally diagnosed during acute cholangitis. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a well delimited 70 mm mass, with a predominant cystic component and hyperenhancement of papillary internal branching, consistent with a hydatid cyst. However, malignancy could not be excluded. The patient rapidly developed an acute abdomen syndrome, thus precluding a liver biopsy. A new urgent CT was performed to rule out a complication of the cystic lesion. A left hepatectomy was performed and the anatomopathological study confirmed the diagnosis of IPNB with a focus of cholangiocarcinoma therein. During follow up, the patient developed peritoneal carcinomatosis, received palliative chemotherapy and finally died.
- Subjects :
- medicine.medical_specialty
Abdominal pain
medicine.medical_treatment
Malignancy
Asymptomatic
Cholangiocarcinoma
medicine
Adjuvant therapy
Hepatectomy
Humans
Chemotherapy
Intraductal papillary mucinous neoplasm
Bile duct
business.industry
Gastroenterology
General Medicine
Jaundice
Middle Aged
medicine.disease
medicine.anatomical_structure
Bile Ducts, Intrahepatic
Bile Duct Neoplasms
Female
Radiology
Bile Ducts
medicine.symptom
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....0c9c385cc741590f0aaebe7f588b1fcf