title: Pancreatitis complicating mucin-hypersecreting common bile duct adenoma.
abstract: Villous adenomas of the bile ducts are extremely uncommon. We describe a 58-year-old man presenting with clinical signs and laboratory findings of acute pancreatitis and obstructive jaundice. Preoperative investigation demonstrated a dilated papillary orifice with mucus exiting (fish-mouth sign) and a filling defect in the distal common bile duct. He underwent a modified Whipple operation and histological examination of the surgical specimen showed villous adenoma with rich secretion of mucus.
authors.affiliation: Department of Endoscopy and Motility Unit, G.Gennimatas Hospital, Ethnikis Aminis 41, Thessaloniki 54635, Greece. akis_katsinelos@yahoo.gr
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: George
authors.initials: G
authors.lastname: Basdanis
authors.forename: Grigorios
authors.initials: G
authors.lastname: Chatzimavroudis
authors.forename: Giorgia
authors.initials: G
authors.lastname: Karagiannoulou
authors.forename: Taxiarchis
authors.initials: T
authors.lastname: Katsinelos
authors.forename: George
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: Basilios
authors.initials: B
authors.lastname: Papaziogas
authors.forename: George
authors.initials: G
authors.lastname: Paraskevas
mesh_terms: D002759:Adenoma, Bile Duct / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000473:pathology* / Q000601:surgery; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009077:Mucins / Q000378:metabolism*; D010195:Pancreatitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D009077:Mucins