頁籤選單縮合
題名 | Unusual Presentation of a Low-grade Intraductal Papillary Neoplasm of the Bile Duct= |
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作者 | Chong, Kian-hwee; Wu, Chao-chuan; Wang, Chia-chi; Lee, Yi-hsin; Chang, Yao-jen; Yu, Sen-chang; |
期刊 | Formosan Journal of Surgery |
出版日期 | 20150400 |
卷期 | 48:2 2015.04[民104.04] |
頁次 | 頁68-71 |
分類號 | 416.247 |
語文 | eng |
關鍵詞 | Cholangitis; Hemobilia; Intraductal bile duct neoplasm; |
英文摘要 | Intraductal papillary neoplasm of the bile duct usually manifests as abdominal pain, jaundice, and cholangitis but rarely presents as hemobilia. In this article, we present the case of a 74-year-old man with a 2-year history of repeated hemobilia without a definite diagnosis. A cholangiogram revealed a left intrahepatic duct dilatation with a filling defect, and computed tomography revealed a hyperdense lesion in the left lateral liver segment, which was subsequently resected. Histopathological examination revealed focal low-grade intraductal papillary neoplasm of the bile duct and markedly dilated bile ducts with a ruptured blood vessel. The postoperative course was uneventful. Clinicians should comprehensively evaluate cases of unusual and recurrent gastrointestinal bleeding by considering this diagnosis. |
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