Abstract
A case is presented of a woman who developed obstructive jaundice secondary to dysplastic mucinous papillomatosis two years after she had undergone cholecystectomy and exploration of the common bile duct. The gall bladder was dysplastic. It is suggested that the dysplastic glands removed from the common bile duct at the second operation either represented seedlings from dysplastic areas of the gall bladder or were a manifestation of dysplastic field change.
Highlights
Extrahepatic biliary papillomatosis is a rare condition
Liver failure may supervene as a result of repeated attacks of ascending cholangitis or biliary cirrhosis secondary to unrelieved obstruction
ERCP facilitates diagnosis and, with the benefit of hindsight, it is possible that this patient could have been successfully treated by endoscopic extraction of the grape-like mass
Summary
A case is presented of a woman who developed obstructive jaundice secondary to dysplastic mucinous papillomatosis two years after she had undergone cholecystectomy and exploration of the common bile duct. It is suggested that the dysplastic glands removed from the common bile duct at the second operation either represented seedlings from dysplastic areas of the gall bladder or were a manifestation of dysplastic field change
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