A Case of Biliary Cystadenocarcinoma Mistaken for Liver Abscess

Gyu Bong Ko; Tae Hoon Lee

doi:10.4166/kjg.2015.65.1.62

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Ko and Lee: A Case of Biliary Cystadenocarcinoma Mistaken for Liver Abscess

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Korean J Gastroenterol 2015;65(1):62-65.

Published online: 4 October 2015

DOI: https://doi.org/10.4166/kjg.2015.65.1.62

A Case of Biliary Cystadenocarcinoma Mistaken for Liver Abscess

Gyu Bong Ko, Tae Hoon Lee

Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea

Correspondence to: Tae Hoon Lee, Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-903, Korea. Tel: +82-41-570-3662, Fax: +82-41-574-5762, E-mail: thlee9@schmc.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1.

(A) Abdominal computed tomography scan shows large cystic lesions on arterial phase. (B) Magnetic reson-ance cholangiopancreatography scan also reveals large cystic lesions and adjacent small daughter cysts with high signal intensity on T2 weighted image without intramural nodules or septal wall thickening.

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Fig. 2.

Endoscopic retrograde cholangiopancreatography shows a slight narrowing of common hepatic duct due to extrinsic compression and irregular stricture of intrahepatic duct without definite communication with cystic lesions.

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Fig. 3.

Macroscopic and microscopic findings of biliary cystadenocarcinoma. (A) Macroscopically, mural nodules, papillary infolding and septal thickening are observed within the largest cyst. (B) Microscopic finding shows cystadenocarcinoma with columnar epithelium and abundant cytoplasm containing mucin (H&E, ×400).

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