A Rare Case of Bile Duct Cancer Associated with Pancreaticobiliary Maljunction without Bile Duct Dilatation Diagnosed by MRCP

Koji Nishimura, Hirohiko Onoyama, Yoshinari Hashimoto, Yasutomo Azumi, Shintarou Takao, Tamon Nakaji, Yoshinari Tkahashi, Masaru Saito, Ken Sagayama and Tomoaki Urakawa

Department of Surgery, Saiseikai Nakatu Hospital and Medical Cemter, based on Social Welfare Organization "Saiseikai" Imperial Gift Foundation, Inc.

A 70-year-old woman presented with pain in the right hypochondrium and jaundice. Her general condition was poor for her age. MRCP revealed bile duct carcinoma associated with pancreaticobiliary maljunction without bile duct dilatation. Bile duct resection was performed considering her general condition. Histopathological examination showed advanced cancer and the presence of residual cancer. Based on the results of this case, it is surggested that constructive bile duct resection should be performed for cases of cancer with pancreaticobiliary maljunction without bile duct dilatation.

Key words
pancreaticobiliary maljunction, bile duct cancer, MRCP

Reprint requests
Koji Nishimura Department of Surgery, Saiseikai Nakatu Hospital 2-10-39 Shibata, Kitaku, Osakashi, 530-0012 JAPAN

Accepted
May 23, 2000

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