Papillomatosis confined to the distal biliary tract--a rare cause of obstructive jaundice: report of a case.

Abstract:

:Based on the findings of a patient with recurrent obstructive jaundice due to papillomatosis of the distal bile duct, we herein describe the diagnostic difficulties and therapeutic options in this very rare disease. Endoscopic retrograde cholangiopancreatography and, in particular, cholangioscopy are the imaging procedures of choice if biliary papillomatosis is suspected. Due to the tendency of such patients to demonstrate malignant transformation and develop biliary cirrhosis with septic complications, an early and radical surgical resection is recommended in rare cases of localized papillomatosis. This approach may offer the only chance of a cure although the potential risk of multifocal recurrence cannot be ruled out. When considering a radical resection, intraoperative cholangioscopy is strongly recommended to confirm any localized papillomatosis and rule out any diffuse papillomatosis of the entire biliary tract.

journal_name

Surg Today

journal_title

Surgery today

authors

Sotiropoulos GC,Lang H,Nadalin S,Holtmann G,Dirsch O,Broelsch CE

doi

10.1007/s00595-003-2595-2

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

781-4

issue

10

eissn

0941-1291

issn

1436-2813

journal_volume

33

pub_type

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