Endoscopic Resection of Distal Bile Duct Mass
Comments:
1. This video demonstrated a case of endoscopic resection of a distal bile duct mass.
2. A 76-yr old patient with recurrent cholangitis under went EUS for evaluation of a dilated bile duct.
3. At EUS, a hyperechoic mass was seen in the distal CBD consistent with a polyp.
4. An ERCP was undertaken to evaluate the mass by intraductal ultrasound.
5. Cholangiogram confirmed the presence of a distal CBD mass.
6. At intraductal ultrasound, a dilated CBD was seen with a hyperechoic polypoid mass sparing the deep muscle layers.
7. A biliary sphincterotomy was undertaken and extended up to the duct-duodenal junction.
8. A stone retrieval balloon was then advanced into the bile duct and the inflated balloon was pulled.
9. The bile duct mass was then gently extracted by pulling the balloon.
10. Using a polypectomy snare, the mass was resected by administration of electrocautery.
11. Using a net, the mass was retrieved successfully.
12. The resected bile duct mass measured 2 cms.
13. On histopathology, the resected mass was diagnosed to be a pyogenic granuloma of the bile duct that has not been previously reported.
14. At 6-month follow-up, the patient was doing well without any symptom recurrence.
| Contributed by: |
Shyam S. Varadarajulu, MD University of Alabama at Birmingham |
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Citation: Varadarajulu, SS (Jun 01 2009). Endoscopic Resection of Distal Bile Duct Mass. The DAVE Project. Retrieved Feb, 9, 2010, from http://daveproject.org/viewfilms.cfm?film_id=866 Times viewed since Feb 2006: 3070 |
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