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 Todayjournal_title
Surgery todayauthors
Sotiropoulos GC,Lang H,Nadalin S,Holtmann G,Dirsch O,Broelsch CEdoi
10.1007/s00595-003-2595-2subject
Has Abstractpub_date
2003-01-01 00:00:00pages
781-4issue
10eissn
0941-1291issn
1436-2813journal_volume
33pub_type
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