%0 Journal Article
%A Aparicio Serrano, Ana
%A Gómez Pérez, Alberto
%A Zamora Olaya, Javier Manuel
%A Rodríguez Perálvarez, Manuel Luis
%T Malignancy of intraductal papillary neoplasm of the bile duct.
%D 2022
%@ 1130-0108
%U http://hdl.handle.net/10668/21714
%X Intraductal papillary neoplasm of the bile duct (IPNB) is an uncommon disease which was first included in the World Health Organization classification of neoplasms in 2010. A 64-year-old female was admitted to the hospital because of a hepatic lesion incidentally diagnosed during acute cholangitis. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a well delimited 70 mm mass, with a predominant cystic component and hyperenhancement of papillary internal branching, consistent with a hydatid cyst. However, malignancy could not be excluded. The patient rapidly developed an acute abdomen syndrome, thus precluding a liver biopsy. A new urgent CT was performed to rule out a complication of the cystic lesion. A left hepatectomy was performed and the anatomopathological study confirmed the diagnosis of IPNB with a focus of cholangiocarcinoma therein. During follow up, the patient developed peritoneal carcinomatosis, received palliative chemotherapy and finally died.
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