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Adenomyoma of the common hepatic duct |
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| Authors: | Shigeru Imai Shouichi Uchiyama Toshiki Suzuki Atsushi Arita Kazuaki Yoshida Hidebumi Kodama Takaya Sato Koho Akimaru Tetsuo Shibuya Haruo Kameda |
| Affiliation: | 1. Department of Surgery, Tokyu Hospital, 1-45-6 Kitasenzoku, Ohta-ku, 145, Tokyo, Japan 2. Department of Medicine, Tokyu Hospital, 1-45-6 Kitasenzoku, Ohta-ku, 145, Tokyo, Japan 3. Second Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, 113, Tokyo, Japan |
| Abstract: | A very rare case of adenomyoma of the common hepatic duct is described. A 54-year-old woman was admitted with impending obstructive jaundice secondary to adenomyoma of the common hepatic duct. Our impression, formulated from her clinical presentation, endoscopic investigations, and biochemical and radiological findings, was a cancer of the proximal common hepatic duct. The patient was treated successfully by combination surgical resection and hepaticojejunostomy. Despite our obtaining an intraoperative frozen section, final histological examination was required to confirm the diagnosis. The patient remains well 16 months postoperatively. A survey of the world literature revealed that this is the second report of adenomyoma occurring in the common hepatic duct. |
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