Umangi Patel, MD, Alejandro Mejia, MD VideoGIE

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Presentation transcript:

Recurrent cholangitis due to intraductal papillary mucinous neoplasm of a cystic duct remnant Umangi Patel, MD, Alejandro Mejia, MD VideoGIE Volume 3, Issue 1, Pages 7-8 (January 2018) DOI: 10.1016/j.vgie.2017.08.014 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, EUS image of a thickened common bile duct (CBD) with hypoechoic wall thickening. B, Endoscopic view of cholangioscope and guidewire cannulation of bile duct. C, Fluoroscopic view of cholangioscope in cystic duct. D, Cholangioscopic view of cystic duct remnant showing a villous tumor with numerous frondlike projections. E, Intraoperative view of laparoscopic robotic excision of the cystic duct with primary closure of the common bile duct. F, Histologic view of cystic duct remnant showing intraductal papillary mucinous neoplasm with low-grade to intermediate-grade intraepithelial dysplasia (H&E, orig. mag. × 40). VideoGIE 2018 3, 7-8DOI: (10.1016/j.vgie.2017.08.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions