An uncommon etiology of cholestatic jaundice: intraductal mucinous papillary tumor of the bile duct.
Intraductal papillary mucinous tumors (IPMT) are known to occur in the pancreas but rarely can occur in the bile ducts. These tumors secrete mucin that may form mucous plugs resulting in biliary stasis, biliary duct obstruction and dilation. We report a case of IPMT of the biliary tract that presented with fatigue and a persistent cholestatic pattern of liver enzyme elevation and required a high index of suspicion to make the final diagnosis. The early recognition and treatment of these tumors is important, as unlike other bile duct tumors, these have a good prognosis.
Verma
Akshra
A
Department of Internal Medicine, Gastroenterology and Pathology, University of Illinois at Urbana Champaign, Carle Clinic Association and Carle Foundation Hospital, Urbana, IL 61801, USA. dr.akshra@gmail.com
Batey
Andrew
A
Greenberg
Eugene
E
Uzoaru
Ikechukwu
I
D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000368:Aged; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001706:Biopsy; D002291:Carcinoma, Papillary / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D015607:Stents