Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma
Biliary cystadenomas are rare, benign but potentially malignant, multilocular, cystic neoplasms of a biliary origin. They often present with non-specific symptoms. We present a rare case of an intrahepatic biliary cystadenoma causing luminal obstruction to the bile duct. Case report: A 32-year-old...
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| Format: | Article |
| Language: | English |
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GESDAV
2014-08-01
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| Series: | Archives of Clinical and Experimental Surgery |
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| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=29754 |
| _version_ | 1797914537980067840 |
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| author | Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan |
| author_facet | Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan |
| author_sort | Ashwin Rammohan |
| collection | DOAJ |
| description | Biliary cystadenomas are rare, benign but potentially malignant, multilocular, cystic neoplasms of a biliary origin. They often present with non-specific symptoms. We present a rare case of an intrahepatic biliary cystadenoma causing luminal obstruction to the bile duct.
Case report: A 32-year-old female with obstructive jaundice was evaluated and diagnosed as having a cystic lesion in the liver. With a preoperative differential diagnosis of a hydatid cyst, she underwent laparotomy and enucleation of the lesion. Intraoperatively, the tumor was found to be extending into the bile duct, which was occluding the lumen. This was excised and a bilioenteric anastomosis was done. Her postoperative period was uneventful and she was anicteric on follow-up.
Conclusion: Biliary cystadenoma should be considered a differential diagnosis when radiologic imaging studies suggest a multilocular cystic hepatic lesion. Presence of jaundice in such patients should raise the suspicion of an intrabiliary component, the omission of which can lead to avoidable postoperative morbidity. [Arch Clin Exp Surg 2014; 3(4.000): 251-253] |
| first_indexed | 2024-04-10T12:28:14Z |
| format | Article |
| id | doaj.art-e96b94ccc043463884cee92874a968e1 |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T12:28:14Z |
| publishDate | 2014-08-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-e96b94ccc043463884cee92874a968e12023-02-15T16:15:03ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332014-08-013425125310.5455/aces.2012122301214929754Episodic Biliary Obstruction: Intrahepatic Biliary CystadenomaAshwin Rammohan0Jeswanth Sathyanesan1Ravichandran Palaniappan2Institute of Surgical Gastroenterology and Liver Transplantation, Centre for GI Bleed, Division of HPB diseases, Stanley Medical College Hospital, Old Jail Road, Chennai, India Institute of Surgical Gastroenterology and Liver Transplantation, Centre for GI Bleed, Division of HPB diseases, Stanley Medical College Hospital, Old Jail Road, Chennai, India Institute of Surgical Gastroenterology and Liver Transplantation, Centre for GI Bleed, Division of HPB diseases, Stanley Medical College Hospital, Old Jail Road, Chennai, IndiaBiliary cystadenomas are rare, benign but potentially malignant, multilocular, cystic neoplasms of a biliary origin. They often present with non-specific symptoms. We present a rare case of an intrahepatic biliary cystadenoma causing luminal obstruction to the bile duct. Case report: A 32-year-old female with obstructive jaundice was evaluated and diagnosed as having a cystic lesion in the liver. With a preoperative differential diagnosis of a hydatid cyst, she underwent laparotomy and enucleation of the lesion. Intraoperatively, the tumor was found to be extending into the bile duct, which was occluding the lumen. This was excised and a bilioenteric anastomosis was done. Her postoperative period was uneventful and she was anicteric on follow-up. Conclusion: Biliary cystadenoma should be considered a differential diagnosis when radiologic imaging studies suggest a multilocular cystic hepatic lesion. Presence of jaundice in such patients should raise the suspicion of an intrabiliary component, the omission of which can lead to avoidable postoperative morbidity. [Arch Clin Exp Surg 2014; 3(4.000): 251-253]http://www.scopemed.org/fulltextpdf.php?mno=29754Cystadenomajaundicelivermucinous |
| spellingShingle | Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma Archives of Clinical and Experimental Surgery Cystadenoma jaundice liver mucinous |
| title | Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma |
| title_full | Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma |
| title_fullStr | Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma |
| title_full_unstemmed | Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma |
| title_short | Episodic Biliary Obstruction: Intrahepatic Biliary Cystadenoma |
| title_sort | episodic biliary obstruction intrahepatic biliary cystadenoma |
| topic | Cystadenoma jaundice liver mucinous |
| url | http://www.scopemed.org/fulltextpdf.php?mno=29754 |
| work_keys_str_mv | AT ashwinrammohan episodicbiliaryobstructionintrahepaticbiliarycystadenoma AT jeswanthsathyanesan episodicbiliaryobstructionintrahepaticbiliarycystadenoma AT ravichandranpalaniappan episodicbiliaryobstructionintrahepaticbiliarycystadenoma |