Abstract
Two patients with carcinoma of the cystic duct presented with obstructive jaundice due to extrinsic compression of the common hepatic duct by the tumor. Sonography and computed tomography showed dilatation of the intrahepatic bile ducts and gallbladder. In one patient, a calculus seen in the gallbladder neck suggested Mirizzi syndrome. In the other, a small soft tissue mass was indistinguishable from a common duct tumor or an enlarged lymph node. In both cases, direct cholangiography demonstrated extrinsic compression and displacement of the common duct with proximal biliary dilatation and nonvisualization of the gallbladder. Carcinoma of the cystic duct should be considered whenever there is evidence of cystic duct obstruction and/or when cholangiography shows extrinsic mass effect on the common duct.
Similar content being viewed by others
References
Zeman RK, Burrell MI:Gallbladder and Bile Duct Imaging; A Clinical RadiologiC Approach. New York: Churchill-Livingstone, 1987
Farrar DAT: Carcinoma of the cystic duct.Br J Surg 39:183–185, 1951
Manabe T, Sugie T: Primary carcinoma of the cystic duct.Arch Surg 113:1202–1204, 1978
Braunschwig A, Clark DE: Carcinoma of the cystic duct: report of a case and comments on ligation of the hepatic artery in man.Arch Surg 42:1094–1100, 1941
Walker J, Kanzer BF: Carcinoma of the cystic duct mimicking the Mirizzi syndrome.Am J Gastroenterol 77:936–938, 1982
Kogire M, Kitamura O, Yamada T, Noda H, Asano M, Yoshida A: Carcinoma of the cystic duct: a case report.Arch Jpn Chir 54:508–513, 1985
Ohto M, Ono T, Tsuchiya Y, Saisho H: Carcinoma of the extrahepatic bile ducts. In:Cholangiography and Pancreatography. Baltimore MD: University Park Press, 1978, pp 156–160
De Waele B, Beaurang J, Smekens L, Pipeleers-Marichal M: Carcinoma of cystic duct leading to obstructive jaundice.Dig Dis Sci 29:865–867, 1984
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Radin, D.R., Chandrasoma, P. & Ralls, P.W. Carcinoma of the cystic duct. Gastrointest Radiol 15, 49–52 (1990). https://doi.org/10.1007/BF01888734
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01888734