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KMID : 0882420090770030338
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Korean Journal of Medicine
2009 Volume.77 No. 3 p.338 ~ p.342
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A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct
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Choi Won-Jung
Lee Sang-Soo
Noh Se-Hui
Chun Yoon-Hee
Yu Ji-Hee
Lee Sung-Koo
Kim Myung-Hwan
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Abstract
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Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. The common clinical manifestations are recurrent abdominal pain, jaundice, and acute cholangitis. We report a case of hemobilia caused by biliary IPN. A 59-year-old man was referred to our hospital because of hemobilia of unknown origin. Computed tomography and magnetic resonance cholangiography revealed dilatation of the S6 segmental duct with an ovoid-shaped intraductal mass. Percutaneous transhepatic cholangioscopy showed multiple papillary masses with bleeding in the S6 segmental duct. The patient underwent a right lobectomy, and the pathology revealed a well differentiated intraductal papillary adenocarcinoma.
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KEYWORD
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Biliary IPN, Hemobilia, Cholangioscopy
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