| 篇名 |
Unusual presentation of a low-grade intraductal papillary neoplasm of the bile duct |
| 作者 |
Kian-Hwee Chong, Chao-Chuan Wu, Chia-Chi Wang, Yi-Hsin Lee, Yao-Jen Chang, Sen-Chang Yu |
| 卷期/出版年月 |
48卷2期 (2015/4) |
| 頁次 |
68-71 |
| 摘要 |
Intraductal papillary neoplasm of the bile duct usually manifests as abdominal pain, jaundice, and cholangitis but rarely presents as hemobilia. In this article, we present the case of a 74-year-old man with a 2-year history of repeated hemobilia without a definite diagnosis. A cholangiogram revealed a left intrahepatic duct dilatation with a filling defect,
and computed tomography revealed a hyperdense lesion in the left lateral liver segment, which was subsequently resected. Histopathological examination revealed focal low-grade intraductal papillary neoplasm of the bile duct and markedly dilated bile ducts with a ruptured blood vessel. The postoperative course was uneventful. Clinicians should comprehensively
evaluate cases of unusual and recurrent gastrointestinal bleeding by considering this diagnosis. |
| 關鍵詞 |
cholangitis;hemobilia;intraductal bile duct neoplasm |
| 分類 |
Case Report |
