Korean J Med.  2009 Sep;77(3):338-342.

A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct

Affiliations
  • 1Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. ssleedr@amc.seoul.kr

Abstract

Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. The common clinical manifestations are recurrent abdominal pain, jaundice, and acute cholangitis. We report a case of hemobilia caused by biliary IPN. A 59-year-old man was referred to our hospital because of hemobilia of unknown origin. Computed tomography and magnetic resonance cholangiography revealed dilatation of the S6 segmental duct with an ovoid-shaped intraductal mass. Percutaneous transhepatic cholangioscopy showed multiple papillary masses with bleeding in the S6 segmental duct. The patient underwent a right lobectomy, and the pathology revealed a well differentiated intraductal papillary adenocarcinoma.

Keyword

Biliary IPN; Hemobilia; Cholangioscopy

MeSH Terms

Abdominal Pain
Adenocarcinoma, Papillary
Bile
Bile Ducts
Cholangiography
Cholangitis
Dilatation
Epithelium
Hemobilia
Hemorrhage
Humans
Jaundice
Magnetic Resonance Spectroscopy
Middle Aged
Rare Diseases
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