Pancreatitis complicating mucin-hypersecreting common bile duct adenoma.
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.
Katsinelos
Panagiotis
P
Department of Endoscopy and Motility Unit, G.Gennimatas Hospital, Ethnikis Aminis 41, Thessaloniki 54635, Greece. akis_katsinelos@yahoo.gr
Basdanis
George
G
Chatzimavroudis
Grigorios
G
Karagiannoulou
Giorgia
G
Katsinelos
Taxiarchis
T
Paroutoglou
George
G
Papaziogas
Basilios
B
Paraskevas
George
G
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
D009077:Mucins