Tubulopapillary adenoma of the common bile duct presenting with jaundice

Abstract

In this report, an adult patient with tubulopapillary adenoma of the common bile duct that manifested with jaundice is presented. Diagnostic challenges were analyzed. Although adenomas of the common bile duct are rare, they should be kept in mind in the differentiation of lesions of this region. It should be remembered that these lesions radiologically could mimic carcinoma and choledocholithiasis. Endoscopic resection should be considered as the primary method for treatment. Histopathology is the gold standard in diagnosis.

Common Bile Duct Polyp—Rare But Not So Rare Cause Of Obstructive Jaundice

“…They are generally found as single, well-defined polypoid lesion. 2,3 TVA generally found in the gastrointestinal tract but uncommonly in the biliary system. 2,4,5 In present case series, we identified four patients with tubulovillous adenoma and one patient with adenomyomatous hyperplasia.…”

“…Clinical presentation of obstructive jaundice is usually due to CBD obstruction, which is most commonly due to CBD stone or malignant tumor. 2 Other causes include benign biliary stricture, parasites, primary sclerosing cholangitis, AIDS-related cholangiopathy, and biliary tuberculosis.…”

“…It poses a challenge to diagnose a CBD polyp on the basis of abdominal ultrasound, contrast-enhanced computed tomography (CECT) abdomen, or magnetic resonance cholangiopancreatography (MRCP); however, endoscopic ultrasound (EUS) emerges as a good diagnostic modality, especially for distal CBD polyps. 1,2 There is no consensus related to the treatment of CBD polyps. 2 Hence, the patients are occasionally treated with the unnecessary extensive surgical procedure.…”

“…1,2 There is no consensus related to the treatment of CBD polyps. 2 Hence, the patients are occasionally treated with the unnecessary extensive surgical procedure. 1,2 Even though the CBD polyps are extremely rare; an awareness for such a rare entity is required as their potential existence may be confused between a malignant lesion and choledocholithiasis.…”

“…2 Hence, the patients are occasionally treated with the unnecessary extensive surgical procedure. 1,2 Even though the CBD polyps are extremely rare; an awareness for such a rare entity is required as their potential existence may be confused between a malignant lesion and choledocholithiasis. Herein, we present a case-series of five adult male patients who presented with obstructive jaundice but eventually diagnosed with distal CBD polyps.…”