Diagnosis and treatment of mucobilia: report of 8 cases.
OBJECTIVE
To better understand mucobilia as well as its diagnosis and treatment.


METHODS
The etiological factors, diagnosis, and treatment of 8 patients with mucobilia were discussed.


RESULTS
Mucobilia characterized by copious mucin secretion in the extrahepatic bile duct resulted in obstructive jaundice and cholangitis. Four patients receiving curative resection of primary lesions were free from jaundice and cholangitis while the other 4 who had had palliative biliary drainage showed persistent symptoms.


CONCLUSIONS
Mucobilia is attributable to biliary mucous metaplasia, and benign or malignant biliary tumors. Cholangioscopy and biopsy can offer precise information about the location and extension of the primary lesion. The best choice of treatment is curative resection of the primary lesion.
Tu
Jin-Fu
JF
Department of Surgery, First Affiliated Hospital, Wenzhou Medical College, Wenzhou 325000, China. tujinfu@sina.com
Zhu
Guan-Bao
GB
Jiang
Fei-Zhao
FZ
Zhang
Qi-Yu
QY
D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000209:etiology / Q000378:metabolism / Q000601:surgery*; D017734:Bile Ducts, Extrahepatic / Q000378:metabolism; D002761:Cholangitis / Q000209:etiology / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000379:methods*; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009077:Mucins / Q000378:metabolism*; D016896:Treatment Outcome
D009077:Mucins