Multicentric recurrence of intraductal papillary neoplasms of bile duct in the remnant intrahepatic bile duct after curative resection

Highlights • Intraductal papillary neoplasm of the bile duct (IPNB) is a newly-recognized disease concept and its long-term prognosis and pattern of recurrence are poorly understood so far. • We report a case of IPNB patient with early stage carcinoma who had multicentric recurrence in the remnant h...

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Bibliographic Details
Published in:International journal of surgery case reports 2015-01, Vol.12, p.123-127
Main Authors: Narita, Masato, Endo, Bunji, Mizumoto, Yoshinori, Matsusue, Ryo, Hata, Hiroaki, Yamaguchi, Takashi, Otani, Tetsushi, Ikai, Iwao
Format: Article
Language:English
Subjects:
Case Report
Cholangiocarcinoma
Double balloon enteroscopy
Hepaticojejunostomy
IPNB
Liver
Prognosis
Surgery
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Summary:Highlights • Intraductal papillary neoplasm of the bile duct (IPNB) is a newly-recognized disease concept and its long-term prognosis and pattern of recurrence are poorly understood so far. • We report a case of IPNB patient with early stage carcinoma who had multicentric recurrence in the remnant hepatic bile duct around 2 years after R0 resection. • We should bear in mind multicentric remnant intrahepatic bile duct recurrence in IPNB patients with multiple lesions. • Endoscopic approach using double balloon enteroscopy is useful in diagnosis of recurrence and palliation of symptoms in selected patients.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2015.05.033