Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jan 28, 2008; 14(4): 647-650
Published online Jan 28, 2008. doi: 10.3748/wjg.14.647
Bile tract adenomyoma: A case report
Gui-Ming Shu, Yi-Jun Wang, Zhi Du, Dong-Yan Li, Chang-Li Liu
Gui-Ming Shu, Yi-Jun Wang, Zhi Du, Dong-Yan Li, Chang-Li Liu, Tianjin Third Central Hospital, Tianjin Medical University, Tianjin 300170, China
Correspondence to: Gui-Ming Shu, Tianjin Third Central Hospital, Tianjin Medical University, 83, Jintang Rd, Hedong District, Tianjin 300170, China. shuguiming@sohu.com
Telephone: +86-13602169948
Fax: +86-22-24382234
Received: August 2, 2007
Revised: October 12, 2007
Published online: January 28, 2008
Abstract

This paper described a rare case of adenomyoma of common bile duct. The case is a 51-year-old man who was hospitalized for yellow color skin and sclera and itching for 2 mo without abdominal pain. Nothing special was found in physical examination except yellowish skin and sclera. The clinical presentation and Contrast-enhanced magnetic resonance imaging (MRI), Magnetic resonance cholangiopancreatography (MRCP), and ultrasonography suspected a tumor of the distal bile duct. The patient was treated successfully by pancreaticoduodenectomy. Histologically, the lesion consisted of adenoid and myofibrous tissue and moderate atypia. The immunophenotype of the epithelial component was cytokeratin 7+/cytokeratin 20-. The patient has been well without any evidence of recurrence for 12 mo since his operation.

Keywords: Common bile duct, Adenomyoma, Diagnosis, Pancreaticoduodenectomy