Cystic Duct Tubular Adenocarcinoma

cholangiopancreatography was performed ( fig. 1 ). A CBD tumor was found to be causing bilateral intrahepatic duct and common hepatic duct (CHD) dilatation. He received endoscopic retrograde biliary drainage, and a 10-cm stent was inserted into the CBD to resolve the obstructive jaundice. Two months later, he visited our hospital for a second opinion. A 48-year-old man had intermittent nausea and vomiting for 2 months. He visited a local hospital due to icteric skin. There was no associated abdominal pain or fever. Laboratory values were unremarkable except for an elevated bilirubin level (total bilirubin = 3.0 mg/dl). Abdominal sonography showed gallbladder stones and a common bile duct (CBD) lesion, so magnetic resonance Published online: November 13, 2009