Korean J Gastroenterol.  2015 Jan;65(1):62-65. 10.4166/kjg.2015.65.1.62.

A Case of Biliary Cystadenocarcinoma Mistaken for Liver Abscess

Affiliations
  • 1Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. thlee9@schmc.ac.kr

Abstract

No abstract available.


MeSH Terms

Bile Duct Neoplasms/*diagnosis/pathology
Cystadenocarcinoma/*diagnosis/pathology
Diagnostic Errors
Humans
Liver/pathology
Liver Abscess/diagnosis
Magnetic Resonance Imaging
Male
Middle Aged
Tomography, X-Ray Computed

Figure

  • Fig. 1. (A) Abdominal computed tomography scan shows large cystic lesions on arterial phase. (B) Magnetic reson-ance cholangiopancreatography scan also reveals large cystic lesions and adjacent small daughter cysts with high signal intensity on T2 weighted image without intramural nodules or septal wall thickening.

  • Fig. 2. Endoscopic retrograde cholangiopancreatography shows a slight narrowing of common hepatic duct due to extrinsic compression and irregular stricture of intrahepatic duct without definite communication with cystic lesions.

  • Fig. 3. Macroscopic and microscopic findings of biliary cystadenocarcinoma. (A) Macroscopically, mural nodules, papillary infolding and septal thickening are observed within the largest cyst. (B) Microscopic finding shows cystadenocarcinoma with columnar epithelium and abundant cytoplasm containing mucin (H&E, ×400).


Reference

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