Septum formation of the common hepatic duct associated with an anomalous junction of the pancreaticobiliary ductal system and gallbladder cancer: report of a case.
We herein describe a 48-year-old woman who developed a septum formation of the bile duct combined with an anomalous arrangement of the pancreaticobiliary ductal system in conjunction with gallbladder cancer. A preoperative endoscopic retrograde cholangiogram demonstrated a filling defect in the common hepatic duct which was misdiagnosed to be an elevated lesion. Further exploration revealed a septum formation of the bile duct along with gallbladder cancer. A resection of the dilated bile duct and gallbladder along with a dissection of the regional lymph nodes was performed. A histological evaluation showed the septum to consist of a normal bile duct wall while the tumor in the gallbladder was poorly differentiated adenocarcinoma. The patient made an uneventful recovery. The septum formation was presumed to be congenital in origin.
Kato
S
S
Department of Surgery, Yukokai General Hospital, Osaka, Japan.
Nakagawa
T
T
Kobayashi
H
H
Arai
E
E
Isetani
K
K
D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging; D017734:Bile Ducts, Extrahepatic / Q000002:abnormalities*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D006500:Hepatic Duct, Common / Q000002:abnormalities*; D006801:Humans; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000002:abnormalities*; D014463:Ultrasonography