A Case of Spontaneous Rupture of Bile Duct Cystadenocarcinoma Associated with Sigmoid Colon Cancer

Tatsuya Orimo, Toshiya Kamiyama, Takahito Nakagawa, Kazuaki Nakanishi, Hideki Yokoo, Munenori Tahara, Hirofumi Kamachi, Michiaki Matsushita, Kanako Kubota* and Satoru Todo

Department of Surgery I and Department of Pathology*, Hokkaido University of Medicine

A 61-year-old woman was admitted to our hospital because of pain in her back on the right side. Abdominal CT revealed a cystic tumor in S8-7 of the liver measuring about 6 cm in diameter and an intraperitoneal fluid collection. TAE was performed because of intraperitoneal bleeding from the tumor. Preoperative colonoscopy revealed a sigmoid colon tumor, and sigmoidectomy and S8-7 hepatectomy were performed for a diagnosis of sigmoid colon cancer and bile duct cystadenocarcinoma or liver metastasis by the sigmoid colon cancer. The histological diagnosis was sigmoid colon cancer and bile duct cystadenocarcinoma. Bile duct cystadenocarcinoma is rare, and the treatment of choice is a complete resection of the tumor.

Key words
bile duct cystadenocarcinoma, spontaneous rupture

Reprint requests
Tatsuya Orimo Department of Surgery I, Hokkaido University of Medicine
N14W5 Kita-ku, Sapporo, 060-8648 JAPAN

Accepted
February 28, 2007

To read the PDF file you will need Abobe Reader installed on your computer.