A Case of Mucin-Producing Bile Duct Adenoma

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 38; no. 8; pp. 1340 - 1345
• Main Authors: Tsuchiya, Kazuyo, Ohuchida, Jiro, Uchiyama, Shuichiro, Oshikawa, Shotaro, Chijiiwa, Kazuo, Kataoka, Hiroaki, Itoh, Hiroshi, Kai, Masahiro
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 2005
• Subjects: intraductal ultrasonography; mucin producing bile duct adenoma
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.38.1340

Mucin-producing bile duct tumors are rare. More than 90% of bile duct tumors are adenocarcinomas, and only 7 cases of mucin-producing bile duct adenoma have been reported in the Japanese literature. We report a case of mucin-producing bile duct adenoma with a history of repeated abdominal pain and liver dysfunction. A 63- year-old woman was admitted to the hospital with abdominal pain and jaundice. ERCP revealed an irregular defect in the common bile duct and left hepatic duct. Although the lesion was not detected by per-oral cholangioscopy (POCS) because of the large amount of mucin, intraductal ultrasonography (IDUS) demonstrated a small polypoid lesion in the left hepatic duct. Extended left lobectomy of the liver was performed for a preoperative diagnosis of mucin-producing bile duct tumor, and the final pathological diagnosis was mucinproducing bile duct adenoma.