Thai Journal of Gastroenterology

Article :
Intraductal Papillary Cholangiocarcinoma: Case Report and Review of the Literature

Author :
Pradermchai Kongkam, M.D.
Rungsun Rerknimitr, M.D.

Abstract :

A case of papillary cholangiocarcinoma is presented.  A 64-year-old Thai female presented with progres-
sive painless jaundice and significant weight loss within 3 months.  CT scan showed dilated intrahepatic duct bilaterally and a soft tissue mass filled in dilated common bile duct.  Endoscopic finding revealed bulging of the ampulla and a lobulated polypoid mass was extruded followed standard sphincterotomy.  Cholangiogram showed irregular contour, intraluminal filling defect within common bile duct.  1 week after nasobiliary tube drainage, bile flow rate slowly decreased and bilirubin started to rise from obstructed tube.  Surgical exploration revealed liver metastasis and hepaticojejunostomy was done.  Finally, the patient was discharged home and remained free of jaundice 3 months after operation.

[Thai J Gastroenterol 2006; 6(1): 45-49]

Keyword :
Papillary cholangiocarcinoma, Intraductal, Mucin hypersecreting

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