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- W2280948110 abstract "We report a 75-year-old Taiwanese man who presented with the symptoms and signs of obstructive jaundice and was found on imaging studies to have intraductal papillomas in the biliary tract. Subsequent workup with endoscopic retrograde cholangiography revealed a choledochoduodenal fistula proximal to the major papilla with abundant mucin and several nodular lesions in the orifice of the fistula leading to the diagnosis of mucin-producing biliary papillomatosis (BP) with a choledochoduodenal fistula. Mucin-producing BP associated with gastrobiliary fistula has been reported once in the past. To our knowledge, this is the first case reported associated with a choledochoduodenal fistula. Although mucin-producing BP may be associated with Charcot's triad, the patient only presented with obstructive jaundice without abdominal pain or cholangitis. This was probably because the mucinous bile could be excreted into the duodenum through the choledochoduodenal fistula. We assume that this extremely rare ”drainage route” prevented the development of cholangitis. He was subsequently treated with percutaneous biliary drainage and weekly 5-FU with reduction in the papillomas as well as the bilirubin levels." @default.
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- W2280948110 date "2012-09-01" @default.
- W2280948110 modified "2023-09-22" @default.
- W2280948110 title "Mucin-Producting Biliary Papillomatosis Associated with a Choledochodiodenal Fistula: Report of a Case" @default.
- W2280948110 doi "https://doi.org/10.6557/gjt.201209_29(3).0006" @default.
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