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Biliary cystadenoma with intratumoral bleeding: radiologic-pathologic correlation.
A Kawashima1, E K Fishman, R H Hruban
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD.
Journal of Computer Assisted Tomography
|November 1, 1991
Summary
A rare case of mucinous biliary cystadenoma in a 35-year-old woman presented with acute abdominal pain and jaundice due to internal bleeding. Surgical pathology confirmed the diagnosis after various imaging studies.
Area of Science:
- Hepatobiliary Medicine
- Gastroenterology
- Surgical Pathology
Background:
- Mucinous biliary cystadenomas are rare cystic neoplasms of the liver, typically occurring in middle-aged women.
- These tumors can present asymptomatically or with vague abdominal symptoms, making early diagnosis challenging.
Observation:
- A 35-year-old woman presented with acute upper abdominal pain and jaundice.
- Symptoms were attributed to spontaneous hemorrhage into a liver cystadenoma.
Findings:
- Multimodality imaging, including ultrasound, CT angiography, MR imaging, and ERCP, revealed a complex cystic lesion.
- Surgical resection and subsequent histopathological examination confirmed the diagnosis of mucinous biliary cystadenoma.
Implications:
- This case highlights the importance of considering rare cystic liver lesions in the differential diagnosis of acute abdominal pain and jaundice.
- Accurate preoperative diagnosis through advanced imaging is crucial for appropriate surgical management and patient outcomes.