title: Synchronous double cancer of the common bile duct.
abstract: Synchronous double cancer of the common bile duct is exceptional and only one reported case was found in the literature. We report a case in which the diagnosis of the double tumor was missed by computed tomography scan, magnetic resonance imaging, and endoscopic ultrasonography. The diagnosis of the distal tumor was made only during surgery. There was no communication in either the mucosal layer or the subepithelial layer between the 2 cancers without periductal lymphatic spread, thus suggesting that they are primary.
authors.affiliation: Departmet B of General Surgery, Charles Nicolle Hospital, 1006 Tunis, Tunisia. dr_riadh_bedoui@yahoo.fr
authors.forename: Riadh
authors.initials: R
authors.lastname: Bedoui
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Ajmi
authors.forename: Ramzi
authors.initials: R
authors.lastname: Nouira
authors.forename: Chadli
authors.initials: C
authors.lastname: Dziri
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery; D003951:Diagnostic Errors; D019160:Endosonography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed