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Adenomyoma of the ampullary region: imaging findings in four patients

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Abstract

Background

We report the imaging features of adenomyoma of the distal common bile duct (CBD) and increase awareness of this rare benign disease.

Methods

Four patients (age range = 66–71 years) with abdominal pain and biliary obstruction had spiral computed tomography (CT) and cholangiography with or without papilla biopsy. Two patients also had endoscopic ultrasound.

Results

The CT appearance of adenomyoma was that of a rounded, well-circumscribed, soft tissue mass in the ampullary region, which appeared on cholangiography as a well-defined intraluminal filling defect or caused abrupt and regular stenosis of the CBD. Unfortunately, none of our patients was diagnosed before surgery, and cephalic duodenopancreatectomy was performed in all of them.

Conciusion

Although imaging findings are not specific, their presence should raise the possibility of a benign tumor. If a proper preoperative diagnosis is made, cephalic duodenopancreatectomy can be avoided.

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References

  1. S Imai S Uchiyama T Suzuki et al. (1995) ArticleTitleAdenomyoma of the common hepatic duct J Gastroenterol 30 547–550 Occurrence Handle7550871 Occurrence Handle10.1007/BF02347577 Occurrence Handle1:STN:280:DyaK28%2Fls1agsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  2. P Thomas JR Delpero G Monges et al. (1990) ArticleTitleAdénomyome du bas cholédoque. Une cause exceptionnelle de sténose de la voie biliaire principale Gastroenterol Cli Biol 14 283–284 Occurrence Handle1:STN:280:DyaK3c3mtlyjug%3D%3D

    CAS  Google Scholar 

  3. N Sudan J Lafon (1992) ArticleTitlePapillomatose bénigne du canal de Wirsung associée à un adénomyome du bas cholédoque Gastroenterol Clin Biol 16 701–704 Occurrence Handle1358737 Occurrence Handle1:STN:280:DyaK3s%2FltFSjtQ%3D%3D

    PubMed  CAS  Google Scholar 

  4. HL Huang CL Liu TL Yang HJ Lin (1993) ArticleTitleAdenomyoma of the papilla of Vater: a case report Chin Med J (Taipei) 51 386–388 Occurrence Handle1:STN:280:DyaK3szislantg%3D%3D

    CAS  Google Scholar 

  5. NC Legakis AP Stamatiadis C Papadimitriou-Karapanou NS Apostolidis (1990) ArticleTitleAdenomyoma of the common bile duet Arch Surg 125 543 Occurrence Handle2322122 Occurrence Handle10.1001/archsurg.1990.01410160131025 Occurrence Handle1:STN:280:DyaK3c3htV2jtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. MR Asch J Yu M Margolis M Redston (1997) ArticleTitleAdenomyoma of the common bile duct imaged with endoscopic ultrasonography: case report Can Assoc Radiol J 48 101–104 Occurrence Handle9146466 Occurrence Handle1:STN:280:DyaK2s3ptF2htA%3D%3D

    PubMed  CAS  Google Scholar 

  7. LE Hammarström T Holmin U Stenram (1997) ArticleTitleAdenomyoma of the ampulla of Vater: an uncommon cause of bile duct obstruction Surg Laparosc Endosc 7 388–393 Occurrence Handle9348618 Occurrence Handle10.1097/00019509-199710000-00006

    Article  PubMed  Google Scholar 

  8. JM Läuffer HU Baer CA Maurer et al. (1998) ArticleTitleAdenomyoma of the distal common bile duct mimicking cholangiocarcinoma Dig Dis Sci 43 1200–1204 Occurrence Handle9635608 Occurrence Handle10.1023/A:1018843421292

    Article  PubMed  Google Scholar 

  9. H Ojinia S Takenoshita Y Nagamachi (2000) ArticleTitleAdenomyoma of the common bile duct: report of a case Hepatogastroenterology 47 132–134

    Google Scholar 

  10. M Kayahara T Ohta H Kitagawa et al. (2001) ArticleTitleAdenomyomatosis of the papilla of Vater: a case illustrating diagnostic difficulties Dig Surg 18 139–142 Occurrence Handle11351160 Occurrence Handle10.1159/000050115 Occurrence Handle1:STN:280:DC%2BD3M3lt1ertQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  11. T Tsukamoto H Kinoshita K Hirohashi et al. (1999) ArticleTitleAdenomyoma of the common bile duct Hepatogastroenterology 46 1627–1630 Occurrence Handle10430308 Occurrence Handle1:STN:280:DyaK1MzlslektQ%3D%3D

    PubMed  CAS  Google Scholar 

  12. PD Kneafsey DJ Demetrick (1992) ArticleTitleMalignant tranformation in a pyloric adenomyma: a case report Histopathology 20 433–435 Occurrence Handle1587493 Occurrence Handle10.1111/j.1365-2559.1992.tb01015.x Occurrence Handle1:STN:280:DyaK383mslCmug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. G Dowdy W Olin E Shelton et al. (1962) ArticleTitleBenign tumors of the extrahepatic bile ducts Arch Surg 85 503 Occurrence Handle13887615 Occurrence Handle10.1001/archsurg.1962.01310030151024

    Article  PubMed  Google Scholar 

  14. RK Zeman MI Burrell (1987) Gallbladder and bile duct imaging, a clinical radiologic approach Churchill Livingstone New York 575–584

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Hôtel-Dieu de France Hospital, Alfred Naccache Street, Achrafieh, PO Box 166830, Beirut, Lebanon

    N. Aoun, S. Zafatayeff, T. Smayra, S. Haddad-Zebouni & M. Ghossain

  2. Department of General Surgery, Hôtel-Dieu de France Hospital, Alfred Naccache Street, Achrafieh, P.O.Box: 166830, Beirut, Lebanon

    C. Tohmé

Authors
  1. N. Aoun
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  2. S. Zafatayeff
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  3. T. Smayra
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  4. S. Haddad-Zebouni
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  5. C. Tohmé
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  6. M. Ghossain
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Corresponding author

Correspondence to N. Aoun.

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Aoun, N., Zafatayeff, S., Smayra, T. et al. Adenomyoma of the ampullary region: imaging findings in four patients. Abdom Imaging 30, 86–89 (2004). https://doi.org/10.1007/s00261-004-0224-1

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  • DOI: https://doi.org/10.1007/s00261-004-0224-1

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