Download PDF
Endoscopy 2001; 33(7): 643
DOI: 10.1055/s-2001-15316
Images in Focus

© Georg Thieme Verlag Stuttgart · New York

Peribiliary Cysts Both in the Cystic Duct and in the Intrahepatic Biliary Tract

H. Miyake, N. Yuasa, J. Kamiya, M. Nagino, K. Uesaka, K. Oda, T. Sano, Y. Nimura
  • First Dept. of Surgery, Nagoya University School of Medicine, Nagoya, Japan
Further Information

Publication History

Publication Date:
31 December 2001 (online)

Also available at
   Permissions and Reprints

Figure 1A 72-year-old man complained of low-grade fever and right upper quadrant abdominal pain. Endoscopic retrograde cholangiopancreatography revealed radiolucent areas in the extrahepatic bile duct (white arrows) and in the cystic duct (large white arrow), suggestive of a gallstone. Cholecystectomy and choledocholithotomy were carried out.

Figure 2 a On the resected specimen, a smooth-surfaced intramural cyst (black arrow) was identified in the cystic duct, in addition to gallstones in the common bile duct and the gallbladder. b, c Photomicrographs show that the cyst is lined with a layer of columnar epithelium, and mildly periductal glands are seen in the cyst wall (hematoxylin and eosin; magnification × 13 (b) and × 135 (c).

Figure 3Magnetic resonance cholangiopancreatography undertaken after surgery demonstrates numerous cysts along the intrahepatic bile ducts in a single image.

Figure 4T-tube cholangioscopy reveals an elevated lesion covered with normal mucosa in the intrahepatic bile duct.

Y. NimuraM.D. 

First Dept. of Surgery
Nagoya University School of Medicine

65 Tsurumai-cho
Showa-ku
Nagoya 466-0064
Japan

Fax: Fax:+ 81-52-7442230

Email: E-mail:ynimura@med.nagoya-u-ac.jp

      >