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Misdiagnosis of Intrahepatic Biliary Cystadenoma Located in the Caudate Lobe: A Case Report

Author(s):

Huan-Jian Xu, Zhi-Yang Zhu, Jian-Hua Yu, Wei Wang and Zhi-Hong Shen*   Pages 1 - 4 ( 4 )

Abstract:


Background: Intrahepatic biliary cystadenoma (IBC) is rare but has high incidence of misdiagnosis, especially for experienceless surgeons.

Case: We report a case of IBC located in caudate lobe and described a typical procedure of misdiagnosing this disease. Finally, the patient was successfully cured, but the procedure of misdiagnosis should be attracted attention. Inexperience for IBC and atypical biopsy for histological examination were most important cause of misdiagnosis. Recurrent cystic lesions of the liver and repeated increases in CA 19-9 may suggest a "liver cyst", which is a misdiagnosis.

Conclusion: The experience and lessons of misdiagnosis in this case may help other clinicians diagnose the rare disease accurately.

Keywords:

Intrahepatic biliary cystadenoma, hepatic cyst, misdiagnosis, caudate lobe, cystic lesions.

Affiliation:

Department of General Surgery, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing 312000, Department of General Surgery, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing 312000, Department of General Surgery, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing 312000, Department of Pathology, Zhejiang Provincial People’s Hospital, Hangzhou 310000, Zhejiang, Department of Hepatobiliary Surgery, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing 312000



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