Open AccessSurgical treatment of an intraductal papillary mucinous neoplasm of the biliary tract diagnosed by SpyGlass�
Author(s) -
Rosa Martí Fernández,
Marina Garcés Albir,
María Pilar Ballester,
Dimitri Dorcaratto,
Rosana Villagrasa,
Elena Muñoz-Forner,
Joana Carolina Gómez-Adrián,
Vicente Sánchiz,
Luís Sabater,
Joaquı́n Ortega
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7122/2020
Subject(s) - medicine , intraductal papillary mucinous neoplasm , biliary tract , general surgery , radiology , surgery , pancreas
We present the case of a 76-year-old male with a history of acute cholecystitis who underwent a scheduled laparoscopic cholecystectomy. Chronic cholecystitis with a thickened cystic duct was observed intraoperatively. The anatomic pathology report found high-grade dysplasia that affected the distal edge of the cystic duct. In view of these findings, an endoscopic retrograde cholangiopancreatography (ERCP) was performed with SpyGlass® and an excrescent lesion suggestive of malignancy adjacent to the cystic-common bile duct junction was observed. A resection of the extrahepatic bile duct was performed with lymphadenectomy of the hepatic hilum and hepaticojejunostomy in a subsequent procedure. The definitive pathology report confirmed pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and free margins.