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Malignancy of intraductal papillary neoplasm of the bile duct

Authors :
Alberto Gómez Pérez
Manuel Luis Rodriguez Perálvarez
Javier Manuel Zamora Olaya
Ana Aparicio Serrano
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.

Details

Language :
English
Database :
OpenAIRE
Accession number :
edsair.doi.dedup.....0c9c385cc741590f0aaebe7f588b1fcf