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Pancreatitis complicating mucin-hypersecreting common bile duct adenoma |
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| Authors: | Katsinelos Panagiotis Basdanis George Chatzimavroudis Grigorios Karagiannoulou Giorgia Katsinelos Taxiarchis Paroutoglou George Papaziogas Basilios Paraskevas George |
| Affiliation: | 1. Department of Endoscopy and Motility Unit, "G.Gennimatas" Hospital, Ethnikis Aminis 41, Thessaloniki 54635, Greece 2. Department of Pathology, Aristotle University of Thessaloniki, Greece |
| 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. |
| Keywords: | Villous adenoma Common bile duct Endoscopic retrograde cholangiopancreatography |
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