Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A huge intraductal papillary mucinous carcinoma of the bile duct treated by right trisectionectomy with caudate lobectomy | BioMed Central World Journal of Surgical Oncology Open Access Case report A huge intraductal papillary mucinous carcinoma of the bile duct treated by right trisectionectomy with caudate lobectomy Won-Joon Sohn and Sungho Jo Address Department of Surgery Dankook University College of Medicine San 29 Anseo-dong Dongnam-gu Cheonan-si Chungnam 330-714 Korea Email Won-Joon Sohn - cloudnrain69@ Sungho Jo - agapejsh@ Corresponding author Published 5 December 2009 Received 21 October 2009 World Journal of Surgical Oncology 2009 7 93 doi l477-78l 9-7-93 Accepted 5 December 2009 This article is available from http content 7 l 93 2009 Sohn and Jo licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Because intraductal papillary mucinous neoplasm of the bile duct IPMN-B is believed to show a better clinical course than non-papillary biliary neoplasms it is important to make a precise diagnosis and to perform complete surgical resection. Case presentation We herein report a case of malignant IPMN-B treated by right trisectionectomy with caudate lobectomy and extrahepatic bile duct resection. Radiologic images showed marked dilatation of the left medial sectional bile duct B4 resulting in a bulky cystic mass with multiple internal papillary projections. Duodenal endoscopic examination demonstrated very patulous ampullary orifice with mucin expulsion and endoscopic retrograde cholangiogram confirmed marked cystic dilatation of B4 with luminal filling defects. These findings suggested IPMN-B with malignancy potential. The functional volume of the left lateral section was estimated to be 45 . A planned extensive surgery was successfully performed. The remnant bile ducts were also .
