Association between anomalous pancreaticobiliary ductal union and adenomyomatosis of the gall-bladder

• Published in: Journal of gastroenterology and hepatology 1998-02, Vol.13 (2), p.175-180
• Main Authors: TANNO, SATOSHI, OBARA, TAKESHI, MAGUCHI, HIROYUKI, FUJII, TSUNESHI, MIZUKAMI, YUSUKE, SHUDO, RYUSHI, TAKAHASHI, KUNIYUKI, NISHINO, NORIYUKI, ARISATO, SATOSHI, URA, HITOSHI, KOHGO, YUTAKA
• Format: Article
• Language: English
• Subjects: Adenomyoma - complications; Adenomyoma - diagnostic imaging; Adenomyoma - epidemiology; adenomyomatosis; anomalous pancreaticobiliary ductal union; Biological and medical sciences; Common Bile Duct - abnormalities; Congenital Abnormalities - diagnostic imaging; Congenital Abnormalities - epidemiology; endoscopic ultrasonography; Endosonography; Female; gall-bladder; gall-bladder wall thickness; Gallbladder Neoplasms - complications; Gallbladder Neoplasms - diagnostic imaging; Gallbladder Neoplasms - epidemiology; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Incidence; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Malformations; Medical sciences; Middle Aged; Pancreatic Ducts - abnormalities; Retrospective Studies; ultrasonography
• ISSN: 0815-9319; 1440-1746
• DOI: 10.1111/j.1440-1746.1998.tb00634.x

ABSTRACT A frequent association of biliary tract carcinoma and anomalous pancreaticobiliary ductal union (APBD) is well recognized, especially gall‐bladder carcinoma in undilated type APBD. However, little is known about the presence and incidence of adenomyomatosis (AMT) of the gall‐bladder, a presumed premalignant lesion, in patients with APBD. This retrospective study was conducted to elucidate the clinical features and incidence of AMT in APBD patients with relation to undilated type and dilated type APBD. We reviewed the clinicopathological records of 30 patients with APBD (28 women and two men) encountered during the past 10 years. Among them, 22 patients underwent cholecystectomy and the resected specimens were subjected to histopathological examinations. Eleven cases of APBD patients were undilated type and 11 cases were dilated type. Adenomyomatosis was found in six (55%) of 11 undilated type and one (9%) of 11 dilated type, and fundal type was predominantly observed in six (86%) of seven AMT. An overall incidence of AMT in APBD patients was 32%. An undilated type of APBD is frequently associated with AMT and we believe, therefore, that clinicians should be aware of a possible coexistence of APBD and AMT.