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Endoscopy 2005; 37(5): 498
DOI: 10.1055/s-2005-861236
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© Georg Thieme Verlag KG Stuttgart · New York

Choledochal Cystadenoma

A. Hedayat1 , R. Sotoudehmanesh2 , M. Khatibian2 , H. Mahmoodzadeh1 , M. Sotoudeh3
  • 1Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
  • 2Digestive Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • 3Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Publication Date:
22 May 2006 (online)

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Figure 1 A 42-year-old woman presented with jaundice, right upper quadrant pain and pruritus. Laboratory test findings were: hemoglobin (Hb) 11.1; bilirubin 4.6; aspartate aminotransferase (AST) 34; alanine aminotransferase (ALT) 38; prothrombin time (PT) 16; and alkaline phosphatase 1083. Abdominal sonography revealed dilatation of the intra- and extrahepatic biliary ducts. Endoscopic retrograde cholangiopancreatography (ERCP) showed dilated bile ducts with a large lobulated filling defect in the proximal portion of the common bile duct toward the intrahepatic ducts. CBD, common bile duct; CHD, common hepatic duct.

Figure 2 During surgery a pedunculated mass lesion was seen extending from the left hepatic duct to the mid-portion of the CBD.

Figure 3 Histological investigation demonstrated a choledochal cystadenoma.

Endoscopy_UCTN_Code_CCL_1AZ_2AC

R. Sotoudehmanesh, M.D.

Digestive Disease Research Center, Shariati Hospital

North Kagar Avenue, 14114 Tehran, Iran

Fax: +98-21-8012992

Email: setoodeh@ams.ac.ir

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