Year 2021 / Volume 113 / Number 1
Original
Surgical treatment of an intraductal papillary mucinous neoplasm of the biliary tract diagnosed by SpyGlass®

45-47

DOI: 10.17235/reed.2020.7122/2020

Rosa Martí Fernández, Marina Garcés Albir, María Pilar Ballester, Dimitri Dorcaratto, Rosana Villagrasa, Elena Muñoz-Forner, Joana Carolina Gómez-Adrián, Vicente Sanchiz, Luis Sabater, Joaquín Ortega,

Abstract
We present the case of a 76-year-old male with a history of acute cholecystitis who underwent a scheduled laparoscopic cholecystectomy. Chronic cholecystitis with a thickened cystic duct was observed intraoperatively. The anatomic pathology report found high-grade dysplasia that affected the distal edge of the cystic duct. In view of these findings, an endoscopic retrograde cholangiopancreatography (ERCP) was performed with SpyGlass® and an excrescent lesion suggestive of malignancy adjacent to the cystic-common bile duct junction was observed. A resection of the extrahepatic bile duct was performed with lymphadenectomy of the hepatic hilum and hepaticojejunostomy in a subsequent procedure. The definitive pathology report confirmed pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and free margins.
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Martí Fernández R, Garcés Albir M, Ballester M, Dorcaratto D, Villagrasa R, Muñoz-Forner E, et all. Surgical treatment of an intraductal papillary mucinous neoplasm of the biliary tract diagnosed by SpyGlass®. 7122/2020


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Publication history

Received: 11/04/2020

Accepted: 01/05/2020

Online First: 15/10/2020

Published: 11/01/2021

Article revision time: 16 days

Article Online First time: 187 days

Article editing time: 275 days


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