Common bile duct lesions-how cholangioscopy helps rule out intraductal papillary neoplasms of the bile duct:A case report

• 作者: Fabrizio DiBenedetto Giuseppe Grande Helga Bertani Helga BertaniEndoscopy Unit Luca Reggiani Bonetti Paolo Magistri Rita Conigliaro Silvia Cocca Stefano Di Sandro
• 来源期刊: 世界胃肠内镜杂志:英文版(电子版)
• 学科: 医学
• 关键词: Intraductal papillary neoplasm CHOLANGIOSCOPY Bile duct Surgical resection SpyGlass Case report
• 年，卷（期）: 2020,（12）
• 页码范围: 555-559
• 页数: 5页
• 分类号: R73

摘要

BACKGROUND Intraductal papillary neoplasm of the bile duct(IPNB)is a rare variant of bile duct tumors,characterized by an exophytic growth exhibiting a papillary mass within the bile duct lumen and it can be localized anywhere along the biliary tree,with morphological variations and occasional invasion.CASE SUMMARY We present a patient with obstructive jaundice who was diagnosed with IPNB using cholangioscopy during endoscopic retrograde cholangio-pancreatography.Using the SpyGlass DS Ⅱ technology,we were able to define tumor extension and obtain targeted Spy-byte biopsies.After multidisciplinary evaluation,the patient was scheduled for surgical resection of the tumor,which was radically removed.CONCLUSION Cholangioscopy appears to be crucial for the rapid and clear diagnosis of lesions in the bile duct to achieve radical surgical resection.