Korean J Hepatobiliary Pancreat Surg.
2001 Jul;5(1):175-178.
Adenomyoma of the common bile duct
- Affiliations
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- 1Department of Surgery, Yochon Chonnam Hospital.
- 2Department of Pathology, Yochon Chonnam Hospital.
- 3Second Department of Surgery, Yeosu Chonnam Hospital, Chonnam, Yeosu, Korea.
- 4Department of Medicine, Yeosu Chonnam Hospital, Chonnam, Yeosu, Korea.
Abstract
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A fifty year old Korean female was admitted with a few months history of general malaise. On admission, positive HBs Ag, negative HBs Ab and HBe Ag was negative. The liver function tests showed AST 274 U/L, ALT 126 U/L, CEA 1.87 ng/ml. With the clinical impression of chronic hepatitis B, abdominal CT and ERCP were performed and demonstrated a narrowing of the distal common bile duct suggesting a malignant etiology. The Whipple's procedure was done. The intraoperative finding revealed neoplastic involvement of the distal 1 cm of the common bile duct with severe narrowing and proximal dilatation. Microscopic findings demonstrated cystically dilated ductular structures and intervening irregular hypertrophic smooth muscle bundles.