tailieunhanh - Báo cáo y học: " Episodic biliary obstruction due to an intrahepatic biliary cystadenoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Episodic biliary obstruction due to an intrahepatic biliary cystadenoma: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Episodic biliary obstruction due to an intrahepatic biliary cystadenoma a case report Pulathis N Siriwardana1 and Aloka Pathirana2 Addresses University Surgical Unit Colombo South Teaching Hospital Kalubowila Sri Lanka 2Department of Surgery Faculty of Medical Sciences University of Sri Jayawardanapura Sri Lanka Email PNS - pulathis_ns@ AP - aloka@ Corresponding author Received 6 June 2008 Accepted 22 January 2009 Published 8 September 2009 Journal ofMedical Case Reports 2009 3 9032 doi 1752-1947-3-9032 This article is available from http jmedicalcasereports article view 9032 2009 Siriwardana and Pathirana licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Biliary cystadenoma is a rare benign neoplasm of the bile ducts with malignant potential. Symptoms predominantly right hypochondrial pain and the feeling of a lump or fullness are usually due to the mass effect. Jaundice is rare. This is the fifth reported patient with an intrahepatic biliary cystadenoma giving rise to episodic biliary obstruction which is usually caused by choledocholithiasis or periampullary carcinoma. Considering the mean age of previous similar patients standard deviation years the early age of presentation is very unusual in our patient. Case presentation A 25-year-old Asian woman presented with right hypochondrial pain and episodic biliary obstruction. Contrast enhanced computed tomography revealed a cystic mass in segment 4B and protruding into and along the left hepatic duct. Laparotomy confirmed the contrast enhanced computed tomography findings and histology revealed an intrahepatic mucinous biliary cystadenoma.

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