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Hepatobiliary cystadenoma with mesenchymal stroma mimicking hydatid cyst. Report of a case

Journal Volume 63 - 2000
Issue Fasc.3 - Case reports
Author(s) A. De Backer, A. M. De Schepper, P.P. Michielsen, M. De Maeyer, J. J. Bogers, W. Vaneerdeweg
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Department of (1)Radiology, (2)Gastroenterology, (4)Pathology, (5)Surgery, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium; (3)Department of Gastroenterology, A.Z. St.-Elisabeth, Nederrij 133, B-2200 Herentals, Belgium.

We report on a case of hepatobiliary cystadenoma with mesenchymal stroma in a 44-year-old Caucasian woman who presented with upper abdominal discomfort. Ultrasound (US) and computed tomography (CT) showed a cystic mass resembling hydatid cyst. Endoscopic retrograde cholangiography (ERC) demonstrated communication with the left hepatic duct. At surgery, a cystic mass with communication to the left hepatic duct was found and resected en bloc with a margin of normal liver tissue. Histological examination showed a hepatobiliary cystadenoma with mesenchymal stroma.

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