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Obstructive jaundice caused by circumscript papillomatosis of the common bile duct

Papillomatose des Ductus choledochus als seltene Form des Verschlußikterus

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Summary

Background: Authors are presenting a case of papillomatosis of the common bile duct, causing obstructive jaundice, which is a rare diagnosis.

Methods: On the base of the preoperative examinations and the operative finding an early malignant tumor of the common bile duct was suspected, and only the postoperative pathohistology examination verified the proper diagnosis.

Results: The patient treated with pancreatoduodenectomy is healthy two years after the operation without any complaints.

Conclusions: The authors emphasize that the radical operation is mandatory in the case of this benign disease as it has an inclination for recurrence or malignant transformation.

Zusammenfassung

Grundlagen: Im vorliegenden Fallbericht wird eine Papillomatose des Ductus choledochus als seltene Ursache des Verschlußikterus vorgestellt.

Methodik: Die präoperative Untersuchungen und der intraoperative Befund wiesen auf einen frühen malignen Tumor hin, nur der pathohistologische Befund ergab die korrekte Diagnose.

Ergebnisse: Der Patient ist zwei Jahre nach Pancreatoduodenektomie gesund und hat keine Beschwerden.

Schlußfolgerungen: Wir empfehlen eine radikale Operation, weil es bei dieser Erkrankung zu Rezidiven und zur malignen Transformation kommt.

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Authors and Affiliations

  1. 2nd Department of Surgery, Semmelweis University Medical School, Kútvölgyi Clinical Center, Kútvölgyi út 4, H-1125, Budapest, XII, Hungary

    P. Ondrejka, A. Zábo, F. Siket, I. Sugár, B. Forgács & J. Faller

  2. Pathology Department, Budapest, Hungary

    A. Zábo

  3. 1st Interal Department of the St. John Hospital, Budapest, Hungary

    F. Siket

Authors
  1. P. Ondrejka
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  2. A. Zábo
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  3. F. Siket
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  4. I. Sugár
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  5. B. Forgács
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  6. J. Faller
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Correspondence to P. Ondrejka.

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Ondrejka, P., Zábo, A., Siket, F. et al. Obstructive jaundice caused by circumscript papillomatosis of the common bile duct. Acta Chir. Austriaca 32, 88–89 (2000). https://doi.org/10.1007/BF02949244

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  • DOI: https://doi.org/10.1007/BF02949244

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