title: Papillary cystadenocarcinoma of the bile ducts resulting in hemobilia.
abstract: Cystadenocarcinoma is a rare tumor of the intrahepatic and a very rare tumor of the extrahepatic biliary system. In the reported cases, abdominal swelling is the most common presenting symptom, followed by right upper quadrant mass. Melena was the initial presenting symptom in the present case. Bleeding into the second part of the duodenum was observed only during the third diagnostic esophagogastroduodenoscopy. Hemobilia was suspected because of abnormal liver enzymes and a mass in the left lobe of the liver on computerized tomography. At laparotomy, we suspected that the mass was a hemangioma. Cystadenocarcinoma diagnosis was made only by histopathological examination.
authors.affiliation: Department of Medicine, Henry Ford Hospital, Detroit, Michigan.
authors.forename: R
authors.initials: R
authors.lastname: Alapati
authors.forename: M A
authors.initials: MA
authors.lastname: Ibrahim
authors.forename: D M
authors.initials: DM
authors.lastname: D'Angelo
authors.forename: S K
authors.initials: SK
authors.lastname: Malhotra
authors.forename: Y M
authors.initials: YM
authors.lastname: Nensey
authors.forename: A A
authors.initials: AA
authors.lastname: Salah-Eldin
authors.forename: T T
authors.initials: TT
authors.lastname: Schubert
authors.forename: C K
authors.initials: CK
authors.lastname: Ma
authors.forename: J C
authors.initials: JC
authors.lastname: Lowe
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000150:complications*; D003536:Cystadenocarcinoma / Q000150:complications*; D006431:Hemobilia / Q000209:etiology*; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology*