Intraductal Papillary Mucinous Neoplasm of the Bile Ducts Accompanied by a Choledochoduodenal Fistula / 대한내과학회지
Korean Journal of Medicine
; : 93-97, 2011.
Article
in Ko
| WPRIM
| ID: wpr-131165
Responsible library:
WPRO
ABSTRACT
An intraductal papillary mucinous neoplasm of the bile ducts (IPMN-B) is an uncommon tumor characterized by the secretion of large amounts of mucin and intraductal growth. The characteristic clinical symptoms and radiologic findings are due to bile-duct obstruction caused by mucin. A parapapillary choledochoduodenal fistula is a rare disorder. This fistula has no clinical symptoms and is diagnosed by chance. We report a case of parapapillary choledochoduodenal fistula associated with IPMN-B. A 63-year-old woman was admitted to Hanyang University Hospital because of jaundice. Computed tomography (CT) showed diffuse intra- and extrahepatic bile duct dilatation. The ducts were filled with heterogenous material. Duodenoscopy revealed a large choledochoduodenal fistula. Endoscopic retrograde cholangiography through the fistula showed a papillary mass in the common hepatic duct. IPMN-B with choledochoduodenal fistula was diagnosed. The patient underwent a left hepatectomy. Her postoperative course was uneventful, and she was observed regularly in the outpatient department.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Outpatients
/
Bile
/
Bile Ducts
/
Cholangiography
/
Biliary Fistula
/
Duodenoscopy
/
Bile Ducts, Extrahepatic
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Dilatation
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Fistula
/
Hepatectomy
Limits:
Female
/
Humans
Language:
Ko
Journal:
Korean Journal of Medicine
Year:
2011
Type:
Article