2001, Number 2
Papillary hyperplasia of the distal common bile duct as cause of obstructive jaundice. Report on one patient
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ABSTRACTObjective: To describe a case of papillary hyperplasia of the distal common bile duct that produced obstructive jaundice in one patient.
Setting: Third level health care hospital.
Description of the case: Woman of 51 years of age, with painless jaundice of 6 months evolution, accompanied by asthenia and weight loss of 20 kg. Negative serologic test for hepatitis, carcinoembryonic antigen 1.5 ng. An endoscopic retrograde cholangiopancreatography revealed a duodenal diverticulum. The transduodenal cholangiography failed two times. Abdominal CAT imagining revealed alterations compatible with a tumor of the head of the pancreas, therefore the patient was programmed for an exploratory laparotomy. Pancreatoduodenectomy was performed, the histopathology study revealed papillary hyperplasia of the distal common bile duct.
Conclusion: Papillary hyperplasia of the common bile duct is an uncommon cause of obstructive jaundice, but must be considered within the differential diagnosis, since among the benign tumors of the biliary tract it is hard to exclude the possible presence of malignant neoplasia.
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