Year 2022 / Volume 114 / Number 7
Letter
Diagnosis of biliary papillomatosis with a Spyglass® cholangioscope

439-440

DOI: 10.17235/reed.2022.8612/2022

Eduardo Junquera Alonso, Carlos Vargas González, Marina Terroba Alonso, Carolina Cerrella Cano, Carmen Elisa Cáceres Pieter, Leire Parapar Álvarez, Lucía Seoane Blanco, Manuel Crespo Sánchez,

Abstract
We report the case of a 78-year-old woman with dyspepsia for several years and a history of cholecystectomy, informed by pathology as calculous cholecystopathy, where CT revealed a left-sided intrahepatic bile duct dilation. Cholangio-MRI confirmed a size increase in the distal intrahepatic bile duct on the left side, with T2-hyperintense contents with scarce contrast enhancement, which resulted in the observed dilation. . A Spybite® forceps was used to obtain a biopsy sample, which showed a benign papillary growth compatible with biliary papillomatosis. Biliary papillomatosis or intraductal papillary neoplasm of the biliary tract is a rare, uncommon condition characterized by intraductal papillary growth of the biliary epithelium. It has a tendency towards malignization, hence must be considered a premalignant condition . Major symptoms include jaundice, abdominal pain, and repeat cholangitis, with imaging studies being key for diagnostic suspicion . The development of cholangioscopy with biopsies allows an early diagnosis of malignant precursor lesions of the bile duct, thus allowing early treatment.
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References
Caso Maestro Ó, Justo Alonso I, Rodríguez Gil Y, et al. Tumor recurrence after liver transplantation for diffuse biliary papillomatosis in the absence of invasive carcinoma. Rev Esp Enferm Dig. 2018 Aug;110(8):526-528. doi: 10.17235/reed.2018.5557/2018. PMID: 29938516.
Xiao Y, Zhao J, Wu H, et al. Surgical treatment of malignant biliary papillomatosis invading adjacent organs: A case report. World J Clin Cases. 2019 Jan 26;7(2):253-259. doi: 10.12998/wjcc.v7.i2.253. PMID: 30705903; PMCID: PMC6354098.
Becq A, Camus M, Pietri O, et al. Direct cholangioscopy for diagnosis and treatment guidance of suspected biliary papillomatosis with malignant transformation. Endoscopy. 2020 Jan;52(1):E3-E4. doi: 10.1055/a-0977-2327. Epub 2019 Aug 9. PMID: 31398736.
Dolz Abadía C. Premalignant lesions of the extrahepatic biliary tract. A territory to be explored hand in hand with cholangioscopy. Rev Esp Enferm Dig. 2021 Jan;113(1):4-6. doi: 10.17235/reed.2020.7589/2020. PMID: 33258378.
Citation tools
Junquera Alonso E, Vargas González C, Terroba Alonso M, Cerrella Cano C, Cáceres Pieter C, Parapar Álvarez L, et all. Diagnosis of biliary papillomatosis with a Spyglass® cholangioscope. 8612/2022


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Publication history

Received: 17/01/2022

Accepted: 23/02/2022

Online First: 08/03/2022

Published: 07/07/2022

Article Online First time: 50 days

Article editing time: 171 days


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