Intraductal papillary mucinous neoplasm of biliary ducts: Literature review and a case report with emphasis on radiological manifestation

Abstract

Intraductal papillary mucinous neoplasm of the biliary tract (B-IPMN) is an intraductal growing mucin producing tumor that is precursor of cholangiocarcinoma. Dilation of both upstream and downstream biliary ducts is the radiological key feature that is respectively caused by intraductal obstructive growth and massive mucin production. Although B-IPMN is rare, if the radiologist is familiar with its manifestation, can lead to early diagnosis when surgical resection can be curative. Here, we report a long standing pathologically proved case of B-IPMN with emphasis on radiological manifestation during a long time of 13 years across different imaging modalities.

Robotic hepatectomy and cholecystectomy in the management of intraductal papillary mucinous neoplasm of the biliary tract: A case report and literature review

“…IPMN is characterised by the formation of abnormal growths or tumours within the bile ducts. [1][2][3][4] These growths can lead to obstruction of the bile ducts, which can cause symptoms such as jaundice, additional imaging examinations were also performed in many patients. In all cases, the bile duct was dilated, similar to the ultrasound presentation in this case.…”

“…Imaging studies play a crucial role in diagnosing IPMN of the bile duct. Magnetic Resonance Cholangiopancreatography (MRCP) is commonly used to visualise the bile ducts and detect any abnormalities 1,2 . MRCP provides detailed images that help identify dilatation or strictures in the bile ducts, indicating the presence of IPMN.…”

“…CT scans use X-rays and computer processing to generate cross-sectional images, enabling the detection of struc- Surgical treatment for IPMN of the bile ducts of the liver can involve two main approaches: bile duct resection and liver transplantation. [1][2][3][4] Bile duct resection, also known as hepaticojejunostomy or hepaticoduodenostomy, focuses on removing the diseased portion of the bile duct and creating a new connection between the remaining healthy bile duct and the small intestine. This procedure is performed through an abdominal incision, where the surgeon carefully removes the affected segment of the bile duct, including any associated tumours or growths.…”

Survival and prognostic factors among hospitalized pancreatic cancer patients in northwestern Iran

“…Clinical manifestations, laboratory tests, ultrasonography, ERCP, and contrast-enhanced computed tomography (CT) were used to diagnose PC and determine the necessary indications for surgery. [ 14 ] Abdominal masses, ascites, prominent weight loss, hepatic or distant metastases, as well as metastasis to distant lymph nodes, large veins, and upper mesenteric, hepatic, or celiac arteries were considered as contraindications for pancreatic surgery. On the other hand, indications for surgery included metastasis to the duodenum, stomach, colon, lymph nodes in the field of surgery, small arterial and small arteries and veins, as well as advanced age.…”

MRI features of intraductal papillary mucinous neoplasm of the bile ducts, “The myth about the cyst”: A systematic review

“…IPMN-P is widely recognized while IPMN-B is still relatively an under-described entity [15] , [16] . It has been argued that invasive carcinoma and malignancy are more frequently associated with IPMN-B than with IPMN-P [17] .…”