Case Report
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World J Gastroenterol. Nov 21, 2012; 18(43): 6324-6327
Published online Nov 21, 2012. doi: 10.3748/wjg.v18.i43.6324
Granular cell tumor of the common bile duct: A Japanese case
Junko Saito, Michiko Kitagawa, Hiroshi Kusanagi, Nobuyasu Kano, Eiji Ishii, So Nakaji, Nobuto Hirata, Kazuei Hoshi
Junko Saito, Department of Gastroenterology, Chikamori Hospital, Kochi 780-8522, Japan
Michiko Kitagawa, Hiroshi Kusanagi, Nobuyasu Kano, Department of Surgery, Kameda Medical Center, Kamogawa 296-8602, Japan
Eiji Ishii, So Nakaji, Nobuto Hirata, Department of Gastroenterology, Kameda Medical Center, Kamogawa 296-8602, Japan
Kazuei Hoshi, Department of Pathology, Kameda Medical Center, Kamogawa 296-8602, Japan
Author contributions: Saito J designed and wrote the manuscript; Kitagawa M, Kusanagi H and Kano N conducted surgery; Ishii E, Nakaji S and Hirata N were involved in the clinical management of the case; Hoshi K provided pathological assessment and diagnosis.
Correspondence to: Junko Saito, MD, Department of Gastroenterology, Chikamori Hospital, 1-16 Okawasuji-1 Chome, Kochi 780-8522, Japan. jun_sai.729@w2.dion.ne.jp
Telephone: +81-888-225231 Fax: +81-888-723059
Received: June 12, 2012
Revised: August 22, 2012
Accepted: August 25, 2012
Published online: November 21, 2012
Abstract

Granular cell tumor (GCT) of the biliary system is rare. It is reported that it occurs more commonly in young black women. We report here our seldom experience of a Japanese case in whom icterus was found as a first symptom just after a caesarean operation. A 36-year-old Japanese woman developed icterus after delivery by the Caesarean operation. A surgical operation was performed without can deny that there was a tumor-related change in a bile duct as a result of examination for various images. As a result of pathological evaluation, GCT was diagnosed. By the preoperative organization biomicroscopy result, it was not able to be attachd a right diagnosis. It was thought that this tumor, although rare, should be considered as one of the causes of biliary stenosis in the younger population.

Keywords: Japanese; Granular cell tumor; Common bile duct; Icterus; Endoscopic retrograde cholangiopancreatography