A new variant of bile duct duplication with coexistence of distal cholangiocarcinoma
Ilkay Kosar1, Hilmi Ataseven, Ozlem Yönem
1Department of Anatomy, Cumhuriyet University School of Medicine, Sivas 58140, Turkey.
Background:
A 72-year-old hypertensive woman presented with a 2-month history of right upper quadrant abdominal pain. She had a 15-day history of jaundice, fever with chills and shivering, nausea, vomiting, weight loss and generalized pruritus.
Investigations:
Physical examination, laboratory evaluation, transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, brush cytology, laparotomy and histopathology.
Diagnosis:
Bile duct duplication with coexistence of distal cholangiocarcinoma.
Management:
En bloc resection (including the duodenum, pancreatic head and adjacent lymph nodes), hepaticojejunostomy and pylorus-saving Whipple operation.