ID 106060
Author
Yamada, Shinichiro The Department of Surgery, the University of Tokushima
Utsunomiya, Tohru The Department of Surgery, the University of Tokushima
Kanamoto, Mami The Department of Surgery, the University of Tokushima KAKEN Search Researchers
Hanaoka, Jun The Department of Surgery, the University of Tokushima
Keywords
pancreaticobiliary maljunction
hilar cholangiocarcinoma
cholecystectomy
Content Type
Journal Article
Description
Pancreaticobiliary maljunction (PBM) is associated with the occurrence of biliary cancer due to pancreatobiliary reflux. From the perspective of carcinogenesis, the treatment for PBM is controversial. We herein report a case of hilar cholangiocarcinoma 20 years after the occurrence of gallbladder cancer. A 75-year-old man was referred to our hospital regarding an obstructive jaundice and bile duct tumor. A cholecystectomy was performed for cholelithiasis on this patient 20 years ago, and cancer in situ was detected. Computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor of the portal hepatic region and PBM without dilatation of the bile duct. Adenocarcinoma was detected from bile cytology, and we diagnosed hilar cholangiocarcinoma. Despite the biliary decompression, jaundice was prolonged and the patient passed away. Our case suggests that not only cholecystectomy but also biliary diversion is needed for PBM regardless of the existence of bile duct dilatation.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
1-2
Start Page
169
End Page
173
Sort Key
169
Published Date
2013-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital