A new variant of bile duct duplication with coexistence of distal cholangiocarcinoma.
BACKGROUND
A 72-year-old hypertensive woman presented with a 2-month history of right upper quadrant abdominal pain. She had a 15-day history of jaundice, fever with chills and shivering, nausea, vomiting, weight loss and generalized pruritus.


METHODS
Physical examination, laboratory evaluation, transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, brush cytology, laparotomy and histopathology.


METHODS
Bile duct duplication with coexistence of distal cholangiocarcinoma.


RESULTS
En bloc resection (including the duodenum, pancreatic head and adjacent lymph nodes), hepaticojejunostomy and pylorus-saving Whipple operation.
Kosar
Ilkay
I
Department of Anatomy, Cumhuriyet University School of Medicine, Sivas 58140, Turkey.
Ataseven
Hilmi
H
Yönem
Ozlem
O
Cakmak
Erol
E
Ozer
Ozdemir
O
Ozer
Hatice
H
Topçu
Omer
O
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery; D001652:Bile Ducts / Q000002:abnormalities* / Q000601:surgery; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000175:diagnosis* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007582:Jejunostomy