RESUMO
A 74-year-old female was admitted for painless jaundice. Laboratory tests showed hyperbilirubinemia, cholestasis, normal coagulation, and Ca19-9:163U/L. The CT-scan reported dilation of the intrahepatic and extrahepatic bile ducts secondary to a 24mm tumor in the intrapancreatic common bile duct. The magnetic cholangioresonance showed multiple endoluminal polypoid lesions, suggestive of intraductal papillary neoplasm of the bile duct (IPNB). The endoscopic bile duct brushing was non-conclusive.(AU)
Assuntos
Humanos , Feminino , Idoso , Ducto Colédoco/cirurgia , Síndromes Paraneoplásicas , Colangiocarcinoma/cirurgia , Hemofilia A , Neoplasias dos Ductos Biliares/diagnóstico por imagem , Tumor de Klatskin , Pacientes Internados , Exame Físico , Doenças do Sistema Digestório , Gastroenteropatias , Neoplasias dos Ductos Biliares/complicações , Neoplasias dos Ductos Biliares/patologiaRESUMO
A 74-year-old female was admitted for painless jaundice. Laboratory tests showed hyperbilirubinemia, cholestasis, normal coagulation, and Ca19-9:163U/L. The CT-scan reported dilation of the intrahepatic and extrahepatic bile ducts secondary to a 24mm tumor in the intrapancreatic common bile duct. The magnetic cholangioresonance showed multiple endoluminal polypoid lesions, suggestive of intraductal papillary neoplasm of the bile duct (IPNB). The endoscopic bile duct brushing was non-conclusive.
