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Intraductal Papillary Mucinous Neoplasm of the Bile Ducts Accompanied bya Choledochoduodenal Fistula  

Kim, Hyung-Tae (Department of Internal Medicine, Hanyang University College of Medicine)
Kim, Sa-Il (Department of Internal Medicine, Hanyang University College of Medicine)
Kwon, Oh-Wan (Department of Internal Medicine, Hanyang University College of Medicine)
Lee, Hang-Lak (Department of Internal Medicine, Hanyang University College of Medicine)
Jun, Dae-Won (Department of Internal Medicine, Hanyang University College of Medicine)
Lee, Oh-Young (Department of Internal Medicine, Hanyang University College of Medicine)
Choi, Ho-Soon (Department of Internal Medicine, Hanyang University College of Medicine)
Publication Information
The Korean Journal of Medicine / v.81, no.1, 2011 , pp. 93-97 More about this Journal
Abstract
An intraductal papillary mucinous neoplasm of the bile ducts (IPMN-B) is an uncommon tumor characterized by the secretion of large amounts of mucin and intraductal growth. The characteristic clinical symptoms and radiologic findings are due to bile-duct obstruction caused by mucin. A parapapillary choledochoduodenal fistula is a rare disorder. This fistula has no clinical symptoms and is diagnosed by chance. We report a case of parapapillary choledochoduodenal fistula associated with IPMN-B. A 63-year-old woman was admitted to Hanyang University Hospital because of jaundice. Computed tomography (CT) showed diffuse intra- and extrahepatic bile duct dilatation. The ducts were filled with heterogenous material. Duodenoscopy revealed a large choledochoduodenal fistula. Endoscopic retrograde cholangiography through the fistula showed a papillary mass in the common hepatic duct. IPMN-B with choledochoduodenal fistula was diagnosed. The patient underwent a left hepatectomy. Her postoperative course was uneventful, and she was observed regularly in the outpatient department.
Keywords
Intraductal papillary mucinous neoplasm of the bile ducts; Biliary fistula;
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Times Cited By KSCI : 2  (Citation Analysis)
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