| A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct |
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Won Jung Choi, Shang Soo Lee, Se Hui Noh, Yoon Hee Chun, Ji Hee Yu, Sung Koo Lee, Myung Hwan Kim |
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| 혈액 담즙증으로 진단된 간내 담관 내 유두모양 담관암 1예 |
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최원정·이상수·노세희·천윤희·유지희·이성구·김명환, Shang Soo Lee, Se Hui Noh, Yoon Hee Chun, Ji Hee Yu, Sung Koo Lee, Myung Hwan Kim |
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| Abstract |
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Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous
epithelium within the bile ducts. The common clinical manifestations are recurrent abdominal pain, jaundice, and acute
cholangitis. We report a case of hemobilia caused by biliary IPN. A 59-year-old man was referred to our hospital because of hemobilia
of unknown origin. Computed tomography and magnetic resonance cholangiography revealed dilatation of the S6 segmental
duct with an ovoid-shaped intraductal mass. Percutaneous transhepatic cholangioscopy showed multiple papillary masses with
bleeding in the S6 segmental duct. The patient underwent a right lobectomy, and the pathology revealed a well differentiated intraductal
papillary adenocarcinoma. (Korean J Med 77:338-342, 2009) |
| Key Words:
Biliary IPN; Hemobilia; Cholangioscopy |
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