Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 1;10(3):e05531.
doi: 10.1002/ccr3.5531. eCollection 2022 Mar.

Extrahepatic mucinous biliary cystadenoma: A rare cause of gastric outlet obstruction

Arkadeep Dhali  1 , Sukanta Ray  1 , Gopal Krishna Dhali  2 , Sujan Khamrui  1 , Ranajoy Ghosh  3
Affiliations
Case Reports

Extrahepatic mucinous biliary cystadenoma: A rare cause of gastric outlet obstruction

Arkadeep Dhali et al. Clin Case Rep. .

Abstract

Extrahepatic mucinous biliary cystadenoma is an extremely rare clinical entity that can present with varieties of vague clinical signs and symptoms. Gastric outlet obstruction caused due to this has never been reported before. We highlighted the diagnostic dilemma we faced when radiological investigations could not suggest the accurate organ of origin.

Keywords: biliary cystadenoma; extrahepatic; gastric outlet obstruction; mucinous neoplasm.

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Contrast‐enhanced computed tomography (A) transverse section, (B) saggital section) showing 13.5 × 10.5 × 9.3 cm complex cystic space‐occupying lesion (red arrow) with septation (blue arrow). Magnetic resonance imaging (C) showing a well‐defined cystic (T2 hyperintensity) lesion arising from left lobe of liver (red arrow)
FIGURE 2
FIGURE 2
Endoscopic ultrasound showing, (A) large exophytic multiloculated cystic space‐occupying lesion, (B) mural nodule arising from neck of pancreas
FIGURE 3
FIGURE 3
Intraoperative image showing distended gallbladder with non‐dilated common bile duct along with a 18 × 10 × 10 cm septated cystic mass (yellow arrow) arising from inferior surface of segments IVB and V of liver
FIGURE 4
FIGURE 4
Enucleated specimen
FIGURE 5
FIGURE 5
Hematoxylin and eosin image, A (10X) and B (40X): cyst wall lined by cuboidal to columnar epithelium with apical mucin, C (40X): dense ovarian type of stroma seen without any cellular and architectural atypia. Overall, it is suggestive of mucinous biliary cystadenoma
See this image and copyright information in PMC

References

    1. Davies W, Chow M, Nagorney D. Extrahepatic biliary cystadenomas and cystadenocarcinoma. Report of seven cases and review of the literature. Ann Surg. 1995;222(5):619‐625. doi:10.1097/00000658-199511000-00003 - DOI - PMC - PubMed
    1. Wang YJ, Lee SD, Lai KH, Wang SS, Lo KJ. Primary biliary cystic tumors of the liver. Am J Gastroenterol. 1993;88:599‐603. - PubMed
    1. Pedram‐Canihac M, Le Bail B, Rivel J, Blanc J, Saric J, Bioulac‐Sage P. Hepatobiliary cystadenoma with mesenchymal stroma: a hormone dependent tumor. Report of five cases with immunohistochemical study of hormone receptors [Article in French]. Ann Pathol. 2000;1:14‐18. - PubMed
    1. Agha RA, Franchi T, Sohrabi C, Mathew G. The SCARE. guideline: updating consensus Surgical CAse REport (SCARE) guidelines. Int J Surg. 2020;84(2020):226‐230. - PubMed
    1. Manouras A, Markogiannakis H, Lagoudianakis E, Katergiannakis V. Biliary cystadenoma with mesenchymal stroma: report of a case and review of the literature. World J Gastroenterol. 2006;12(37):6062‐6069. doi:10.3748/wjg.v12.i37.6062 - DOI - PMC - PubMed

Publication types

LinkOut - more resources