No communication between the bile duct and intraductal papillary neoplasm of the bile duct on imaging: A case report

IF 2.1 4区医学 Q3 HEMATOLOGY Clinical hemorheology and microcirculation Pub Date : 2024-04-22 DOI:10.3233/ch-242167

Jianfei Chen, Peishan Guan, Pei Sun, Qing Yu, Haixia Yuan

引用次数: 0

Abstract

As a rare biliary tract tumor, intraductal papillary neoplasm of the bile duct (IPNB) is most common in elderly men and can progress to cholangiocarcinoma- (CCa) if left untreated. It is reported that IPNB usually communicates with the bile duct. As a result, the downstream bile ducts are imaged asymmetrically dilated. However, a case of IPNB that we report here is different. Enhanced MRI revealed a lack of connectivity with the bile duct in this case. Based on this, the purpose of this case study is to suggest that the majority of imaging doctors should widely understand the various imaging manifestations of the disease to avoid misdiagnosis. In addition, although this feature was not indicated by ultrasound in this case, given previous studies and considering the convenience and non-ionizing radiation damage of CEUS, we recommend its use as a screening method for IPNB to improve diagnostic accuracy.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

胆管和胆管导管内乳头状瘤在影像学上没有沟通：病例报告

胆管导管内乳头状瘤（IPNB）是一种罕见的胆道肿瘤，多见于老年男性，如不及时治疗可发展为胆管癌（CCa）。据报道，IPNB 通常与胆管相通。因此，成像显示下游胆管不对称扩张。然而，我们在此报告的一例 IPNB 却有所不同。增强磁共振成像显示该病例缺乏与胆管的连接。基于此，本病例研究旨在建议广大影像科医生应广泛了解该病的各种影像学表现，以避免误诊。此外，虽然本病例的超声检查未提示该特征，但鉴于以往的研究，并考虑到 CEUS 的方便性和非电离辐射损伤，我们建议将其作为 IPNB 的筛查方法，以提高诊断的准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Clinical hemorheology and microcirculation 医学-外周血管病

CiteScore

4.30

自引率

33.30%

发文量

170

期刊介绍： Clinical Hemorheology and Microcirculation, a peer-reviewed international scientific journal, serves as an aid to understanding the flow properties of blood and the relationship to normal and abnormal physiology. The rapidly expanding science of hemorheology concerns blood, its components and the blood vessels with which blood interacts. It includes perihemorheology, i.e., the rheology of fluid and structures in the perivascular and interstitial spaces as well as the lymphatic system. The clinical aspects include pathogenesis, symptomatology and diagnostic methods, and the fields of prophylaxis and therapy in all branches of medicine and surgery, pharmacology and drug research. The endeavour of the Editors-in-Chief and publishers of Clinical Hemorheology and Microcirculation is to bring together contributions from those working in various fields related to blood flow all over the world. The editors of Clinical Hemorheology and Microcirculation are from those countries in Europe, Asia, Australia and America where appreciable work in clinical hemorheology and microcirculation is being carried out. Each editor takes responsibility to decide on the acceptance of a manuscript. He is required to have the manuscript appraised by two referees and may be one of them himself. The executive editorial office, to which the manuscripts have been submitted, is responsible for rapid handling of the reviewing process. Clinical Hemorheology and Microcirculation accepts original papers, brief communications, mini-reports and letters to the Editors-in-Chief. Review articles, providing general views and new insights into related subjects, are regularly invited by the Editors-in-Chief. Proceedings of international and national conferences on clinical hemorheology (in original form or as abstracts) complete the range of editorial features.