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European Surgery

, Volume 40, Issue 2, pp 81–82 | Cite as

Diagnosis of biliary adenomyomatosis

  • M. G. MullaEmail author
  • V. Srivastava
  • I. Hopper
  • J. Klein
  • M. Larvin
  • R. Hall
Case Report
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Summary

BACKGROUND: Adenomyomatosis is a very rare condition of the gallbladder; it is even rarer in the biliary tree. It can present as either biliary colic or painless jaundice when it can be mistaken for a malignancy of the biliary tree and hence is significant as one of the differential diagnoses. METHOD: (case report): We detail a very rare case report of adenomyomatosis of the biliary tree in a 49-year-old woman who presented to us with painless jaundice. RESULTS AND CONCLUSIONS: We discuss the different methods used in the diagnosis of this case and the confusion that can creep. With no set guidelines for the treatment of this rare condition, a complete surgical excision is recommended.

Keywords

Biliary colic Obstructive jaundice Adenomyoma Biliary stricture Ascending cholangitis Pancreaticoduodenectomy 

Diagnostik der biliären Adenomyomatose

Zusammenfassung

GRUNDLAGEN: Die Adenomyomatose ist eine sehr seltene Krankheit der Gallenblase, äußerst selten im Gallentrakt zu finden. Die Symptomatik ist Gallenkolik oder schmerzfreier Ikterus, die zur Fehldiagnose eines malignen Gallentrakttumors fűhren kann. Adenomyomatose ist eine wichtige Differentialdiagnose. METHODIK: (Fallbericht): Wir beschreiben einen extrem seltenen Fall einer Adenomyomatose im Gallentrakt einer 49-jährigen Patientin, die sich mit einem schmerzfreien Ikterus vorstellte. ERGEBNISSE UND SCHLUSSFOLGERUNGEN: Wir diskutieren die unterschiedlichen Methoden, diesen Fall zu diagnostizieren und beschreiben klar die Mőglichkeit der Fehldiagnose. Wir empfehlen eine komplette chirurgische Entfernung in Anbetracht fehlender Richtlinien für die Behandlung dieser seltenen Krankheit.

Schlüsselwörter

Gallenkolik Obstruktiver Ikterus Adenomyom Biliäre Striktur Aufsteigende Cholangitis Pankreaticoduodenektomy 

References

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • M. G. Mulla
    • 1
    Email author
  • V. Srivastava
    • 1
  • I. Hopper
    • 2
  • J. Klein
    • 3
  • M. Larvin
    • 4
  • R. Hall
    • 1
  1. 1.Department of SurgeryDerby City General HospitalDerbyU.K.
  2. 2.Department of HistopathologyDerby City General HospitalDerbyU.K.
  3. 3.Department of AnaesthesiaDerby City General HospitalDerbyU.K.
  4. 4.University of Nottingham Medical SchoolDerby City General HospitalDerbyU.K.

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