Table of Contents    
Case Report
 
Biliary cystadenoma presenting as hilar intraluminal cyst causing episodic biliary obstruction
Saravanan J.1, Jeswanth Sathyanesan2, Ravichandran Palaniyappan3
1M.S., FMAS, M.Ch. Assistant Professor,. Assistant Professor, Institute of Surgical Gastroenterology and Liver transplant , Center for GI Bleed, Division of HPB diseases, Old Jail Road, Chennai,Tamil nadu India.
2M.S., MCh, Professor,Institute of Surgical Gastroenterology and Liver transplant, Center for GI Bleed, Division of HPB diseases, Old Jail Road, Chennai,Tamil nadu India.
3M.S, M.Ch. Director,Institute of Surgical Gastroenterology and Liver transplant , Center for GI Bleed, Division of HPB diseases, Old Jail Road, Chennai,Tamilnadu, India.

Article ID: 100047IJHPDSJ2016
doi:10.5348/ijhpd-2016-47-CR-3

Address correspondence to:
Saravanan Janakiraman
Assistant Professor, Institute of Surgical Gastroenterology and Liver transplant
Center for GI Bleed, Division of HPB diseases
Old Jail Road, Chennai-600001, Tamil nadu
India

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How to cite this article:
Saravanan J, Sathyanesan J, Palaniyappan R. Biliary cystadenoma presenting as hilar intraluminal cyst causing episodic biliary obstruction. Int J Hepatobiliary Pancreat Dis 2016;6:10–13.


Abstract
Introduction: Biliary cystadenomas are rare benign cystic lesions of biliary origin with potential of malignancy. Mostly occurring in women (90%) with non-specific symptoms.
Case Report: We presented a very rare case of biliary cystadenoma in hilar region causing episodic biliary obstruction. A 60-year-old female with episodic obstructive jaundice was evaluated and diagnosed as having cystic lesion near the hilum of liver. With differential diagnosis of biliary cystadenoma or hydatid cyst, she underwent laparotomy. Intraoperatively the cystic lesion was found in the segment IVb with communication into the hilar region as pedunculated polypoid lesion, which was occluding the lumen causing biliary obstruction. The cystic lesion in segment IVb was excised and the communicating polyp with the hilum was removed along with T tube drainage of common bile duct. Her postoperative period was uneventful and T Tube was removed during the follow up. She was symptom free and anicteric during the follow up period.
Conclusion: Biliary cystadenoma should be suspected when radiologic imaging studies suggest a multilocular cystic hepatic lesion, especially in middle aged women.

Keywords: Biliary cystadenoma, Hydatid cyst, Liver cyst, Obstructive jaundice


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Author Contributions
Saravanan Janakiraman – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jeswanth Sathyanesan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ravichandran Palaniyappan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
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Conflict of interest
Authors declare no conflict of interest.
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© 2016 Saravanan Janakiraman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.