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KMID : 0870420010050010175
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2001 Volume.5 No. 1 p.175 ~ p.178
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Adenomyoma of the common bile duct
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Jeong Ung-Gill
Jeong Jong-Gill
Yoon Nam-Hyun
Jang Jae-Hong
Park Mi-Ok
Joo Im-Gwan
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Abstract
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A fifty year old Korean female was admitted with a few months history of general malaise. On admission, positive HBs Ag, negative HBs Ab and HBe Ag was negative. The liver function tests showed AST 274 U/L, ALT 126 U/L, CEA 1.87 ng/ml. With the clinical impression of chronic hepatitis B, abdominal CT and ERCP were performed and demonstrated a narrowing of the distal common bile duct suggesting a malignant etiology. The Whipple’s procedure was done. The intraoperative finding revealed neoplastic involvement of the distal 1 cm of the common bile duct with severe narrowing and proximal dilatation. Microscopic findings demonstrated cystically dilated ductular structures and intervening irregular hypertrophic smooth muscle bundles.
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KEYWORD
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adenomyoma, common bile duc
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