Abstract:choledocholithiasis. To clarify this lesion an echoendoscopy with puncture was performed e non-filing liquid; negative cytology for neoplastic cells and CEA of 8584 ng/ mL. The case was discussed in a multidisciplinary meeting and decided with surgery e performed a distal splenopancreatectomy, cholecystectomy, intraoperative cholangiography and transcystic exploration of the biliary tract without incidents. Histological examination showed a mucinous cystic neoplasm with low and intermediate grade degree dyspla… Show more
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