Open AccessPancreatitis complicating mucin-hypersecreting common bile duct adenoma
Author(s) -
Panagiotis Katsinelos,
G. Basdanis,
Grigoris Chatzimavroudis,
Giorgia Karagiannoulou,
Taxiarchis Katsinelos,
George Paroutoglou,
B. Papaziogas,
George Paraskevas
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i30.4927
Subject(s) - medicine , common bile duct , mucus , pancreatitis , bile duct , gastroenterology , acute pancreatitis , pathology , biology , ecology
Villous adenomas of the bile ducts are extremely uncommon. We describe a 58-year-old man presenting with clinical signs and laboratory findings of acute pancreatitis and obstructive jaundice. Preoperative investigation demonstrated a dilated papillary orifice with mucus exiting (fish-mouth sign) and a filling defect in the distal common bile duct. He underwent a modified Whipple operation and histological examination of the surgical specimen showed villous adenoma with rich secretion of mucus.