Case Report

Diagnosing rare intraductal biliary neoplasms – Intraductal papillary neoplasm of the bile duct: A case report with typical imaging findings

Saumya Pandey, Nitin Agarwal, Vidushi Gupta, Ashok Sharma, Anil Aggarwal, Sunita Gupta, Ram Krishan
South African Journal of Radiology | Vol 26, No 1 | a2387 | DOI: https://doi.org/10.4102/sajr.v26i1.2387 | © 2022 Saumya Pandey, Nitin Agarwal, Vidushi Gupta, Ashok Sharma, Anil Aggarwal, Sunita Gupta, Ram Krishan | This work is licensed under CC Attribution 4.0
Submitted: 27 December 2021 | Published: 29 April 2022

About the author(s)

Saumya Pandey, Department of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Nitin Agarwal, Department of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Vidushi Gupta, Department of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Ashok Sharma, Department of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Anil Aggarwal, Department of Gastrointestinal Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Sunita Gupta, Department of Gastrointestinal Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India
Ram Krishan, Department of Pathology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India


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Abstract

Intraductal papillary neoplasm of the bile duct (IPN-B) is a rare preinvasive intraductal pathology of the biliary tract. It should be differentiated from other more common benign or malignant causes of biliary obstruction and dilatation such as calculi or cholangiocarcinoma because the management and prognosis of this condition differs significantly. This case report describes a case of IPN-B in a 45-year-old female patient who presented with non-specific complaints of chronic abdominal pain without jaundice for three months.


Keywords

intraductal neoplasms; solid-cystic; papillary growth; biliary dilatation; mucin production; communicating; hyperenhancing

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