Proximal Common Bile Duct Adenomyoma, - A Case Report

Authors

  • Arifuzzaman M Medical Officer, Surgical Gastroenterology Department, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka.
  • Dutta A Assistant Professor, Department of Radiology and Imaging, BSMMU, Dhaka.
  • Das BC Professor, Department of Hepatobiliary-Pancreatic and Liver Transplant Surgery, BSMMU, Dhaka.
  • Rahman MM Consultant, Department of Surgery, Sir Salimullah Medical College Hospital.
  • Shahriar S Assistant Professor, Department of Surgery, Shaheed Suhrawardy Medical College, Dhaka .
  • Nowsher MN MD (Pathology) Khulna Medical College Hospital, Khulna

DOI:

https://doi.org/10.3329/jss.v26i1.86092

Keywords:

Proximal common bile duct, adenomyoma

Abstract

Proximal common bile duct adenomyoma is a rare benign tumor. It is more common in female and elderly. It produces obstructive jaundice mimic to cholangiocarcinoma. It is usually evaluated by liver function test, tumor marker (CA19-9), Magnetic resonance cholangiopancreatogphy (MRI-MRCP), and endoscopic retrograde cholangiopancreatography (ERCP) with biopsy. Confirmatory diagnosis is almost impossible before surgery. Confirmation is only possible after surgery and histopathological examination. Recently we have encountered a 31 years old man who presented with obstructive jaundice. He was evaluated as usual and diagnosed as a case of hilar cholangiocarcinoma (Bismuth type I). Extrahepatic excision along with pericholedochal lymph node, lymph node around common hepatic artery and retro-duodenal lymph nodes were removed en-block and the operation was completed by Roux-en-Y reconstruction. Histopathological examination confirms the lesion as bile duct adenomyoma. The patient is symptom free without any recurrence at 3 years follow up after surgery. We are going to report the case as bile duct adenomyoma in a young male which is a very rare tumor for understanding its presentation, diagnosis and treatment in light of published literature.

Journal of Surgical Sciences (2022) Vol. 26(1) : 49-52

Downloads

Download data is not yet available.
Abstract
10
PDF
3

Downloads

Published

2022-02-20

How to Cite

M, A., A, D., BC, D., MM, R., S, S., & MN, N. (2022). Proximal Common Bile Duct Adenomyoma, - A Case Report. Journal of Surgical Sciences, 26(1), 49–52. https://doi.org/10.3329/jss.v26i1.86092

Issue

Vol. 26 No. 1 (2022)

Section

Case Reports

License

No part of the materials published in this Journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in file Journal will be available from the publisher.