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A case of pancreatic cystadenocarcinoma examined by endoscopic through fistula of the common bile duct fistula



A case of pancreatic cystadenocarcinoma examined by endoscopic through fistula of the common bile duct fistula



Gastroenterological Endoscopy 33(2): 312-316



A 83-year-old male was admitted to our hospital complaining of epigastralgia for two weeks. Ultrasonography and CT demonstrated a cystic mass at the head of the pancreas and dilated biliary tract. Percutaneous transhepatic biliary drainage was done on the second hospital day, revealing a fistula between the common bile duct and the pancreatic cyst which was filled with mucus. Through the fistula, cholangioscope was introduced into the cyst and the internal surface of the cyst was found to be covered by villous projections. Based on the findings of the biopsy specimens, the diagnosis of mucinous cystadenocarcinoma was confirmed.

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Accession: 006932968

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