Obstructive Jaundice and Acute Cholangitis Due to Papillary Stenosis

Jun Pyo Chung, Jun Sik Cho, Young Nyun Park, Se Joon Lee, Kwan Sik Lee, Jae Bock Chung, Sang In Lee, Jin Kyung Kang, Ki Whang Kim, Hoon Sang Chi

    Research output: Contribution to journalArticle

    6 Scopus citations

    Abstract

    Papillary stenosis is characterized by fixed fibrosis leading to structural outflow obstruction and it is usually secondary to inflammation and fibrosis from the chronic passage of gallstones, episodes of acute pancreatitis, chronic pancreatitis, sclerosing cholangitis, peptic ulcer disease, and cholesterolosis. However, obstructive jaundice with or without acute cholangitis which leads the physician to suspect the presence of malignancy as a cause is a rare manifestation of papillary stenosis. We report here a case of papillary stenosis presenting with obstructive jaundice and acute cholangitis. The lesion was so difficult to exclude the presence of malignancy preoperatively and intraoperatively that a pylorus-preserving pancreaticoduodenectomy was performed. Histologic examination of the resected specimen revealed fibrosis, adenomatoid ductal hyperplasia, and mild chronic inflammation of the papilla of Vatet and distal common bile duct.

    Original languageEnglish (US)
    Pages (from-to)191-194
    Number of pages4
    JournalYonsei Medical Journal
    Volume40
    Issue number2
    DOIs
    StatePublished - Jan 1 1999

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    Keywords

    • Obstructive jaundice
    • Pancreaticoduodenectomy
    • Papillary stenosis

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Chung, J. P., Cho, J. S., Park, Y. N., Lee, S. J., Lee, K. S., Chung, J. B., Lee, S. I., Kang, J. K., Kim, K. W., & Chi, H. S. (1999). Obstructive Jaundice and Acute Cholangitis Due to Papillary Stenosis. Yonsei Medical Journal, 40(2), 191-194. https://doi.org/10.3349/ymj.1999.40.2.191