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Bile duct adenomas are an extremely rare entity with only a few reported cases in the literature and limited knowledge about its natural progression. Appropriate therapeutic strategies for distal common bile duct (CBD) adenomas have not been clearly defined. We report a patient with distal CBD adenoma who presented with acute cholangitis and treated endoscopically with a combination of snare polypectomy and Argon Plasma Coagulation (APC).

A combination of snare polypectomy and apc therapy for prolapsing common bile duct adenoma