Copyright
©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 14, 2006; 12(30): 4927-4929
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4927
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4927
Pancreatitis complicating mucin-hypersecreting common bile duct adenoma
Panagiotis Katsinelos, George Basdanis, Grigorios Chatzimavroudis, Taxiarchis Katsinelos, George Paroutoglou, Basilios Papaziogas, George Paraskevas, Department of Endoscopy and Motility Unit, “G.Gennimatas” Hospital, Ethnikis Aminis 41, Thessaloniki 54635, Greece
Giorgia Karagiannoulou, Department of Pathology, Aristotle University of Thessaloniki, Greece
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Panagiotis Katsinelos, Department of Endoscopy and Motility Unit, “G.Gennimatas” Hospital, Ethnikis Aminis 41, Thessaloniki 54635, Greece. akis_katsinelos@yahoo.gr
Telephone: +30-2310-211221 Fax: +30-2310-210401
Received: February 23, 2006
Revised: March 1, 2006
Accepted: March 13, 2006
Published online: August 14, 2006
Revised: March 1, 2006
Accepted: March 13, 2006
Published online: August 14, 2006
Abstract
Villous adenomas of the bile ducts are extremely uncommon. We describe a 58-year-old man presenting with clinical signs and laboratory findings of acute pancreatitis and obstructive jaundice. Preoperative investigation demonstrated a dilated papillary orifice with mucus exiting (fish-mouth sign) and a filling defect in the distal common bile duct. He underwent a modified Whipple operation and histological examination of the surgical specimen showed villous adenoma with rich secretion of mucus.