Extrahepatic biliary cystadenoma presenting with ascending cholangitis and obstructive jaundice: A case report.

Author(s):  
Tanawat Pattarapuntakul
Author(s):  
Ikhwan Sani Mohamad ◽  
Syed Hassan Syed Aziz ◽  
Ong Yan Zie ◽  
LEOW Voon Meng ◽  
Zaidi Zakaria

Introduction: Charcot’s triad was traditionally used to diagnose ascending cholangitis. However it is already proven that only minority of patients with ascending cholangitis who fulfill the triad of fever, jaundice and right hypochondriac pain. Aim: We would like to highlight the rarity of severe hyperbilirubinaemia secondary to benign cause as most of the incidence raised more suspicion for primary liver disease or malignancy. Case study: We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis. Results and discussion: We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis. Conclusions: Benign conditions such as common bile duct stones still can lead to severe hyperbilirubinaemia even though it is very rare. The usage of appropriate imaging is needed to exclude malignant causes.


2009 ◽  
Vol 3 (3) ◽  
pp. 269-274 ◽  
Author(s):  
Noor Jawad ◽  
Adam K. Woolf ◽  
Jo-Anne Chin-Aleong ◽  
Ralph Greaves ◽  
Hemant M. Kocher

2002 ◽  
Vol 46 (6) ◽  
pp. 593 ◽  
Author(s):  
Dong Kyun Yoo ◽  
June Sik Cho ◽  
Kyung Sook Shin ◽  
Dae Young Kang

Author(s):  
Ming‐Tse Hsu ◽  
Tsung‐Jung Tsai ◽  
Chi‐Yi Chen ◽  
Ching‐Chung Chiang ◽  
Chien‐Chin Chen

2021 ◽  
pp. 12-13
Author(s):  
Moka .Rajesh ◽  
Shaik Nazia ◽  
Angani. Sri Radha Krishna Varma

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Yangbei Zhu ◽  
Shuling Wang ◽  
Shengbing Zhao ◽  
Lin Qi ◽  
Zhaoshen Li ◽  
...  

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