Suture granuloma masquerading as malignancy of the biliary tract.
Eighteen years after having a duodenal leiomyosarcoma resected, a patient presented with weight loss, pruritus, and abdominal pain. ERCP was consistent with a cholangiocarcinoma with proximal hepatic duct stricture and nonfilling of the cystic duct. CAT scan revealed no extrinsic masses compressing the gallbladder or biliary tract. At surgical exploration, the patient was found to have a suture granuloma with surrounding fibrosis within the common bile duct. There was no evidence of malignancy.
Murphy
J R
JR
Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5100.
Shay
S S
SS
Moses
F M
FM
Braxton
J
J
Jaques
D P
DP
Wong
R K
RK
D002759:Adenoma, Bile Duct / Q000000981:diagnostic imaging*; D000368:Aged; D001661:Biliary Tract Neoplasms / Q000000981:diagnostic imaging*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D005260:Female; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging*; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging*; D006801:Humans; D013537:Sutures; D014057:Tomography, X-Ray Computed