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Rare disease
CASE REPORT
Management of high-grade dysplasia of the cystic duct after cholecystectomy
  1. Maitham A Moslim1,
  2. Andrew Tang1,
  3. Gareth Morris-Stiff1,2
  1. 1HPB Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  2. 2Surgery, Cwm Taf NHS Trust, Llantrisant, RCT, UK
  1. Correspondence to Dr Gareth Morris-Stiff, garethmorrisstiff{at}hotmail.com

Summary

High-grade dysplasia (HGD) of the cystic duct margin without evidence of concurrent malignancy is a rare occurrence. We present a case of a 36-year-old woman who developed gallstone pancreatitis and subsequently underwent a laparoscopic cholecystectomy. On histopathology, she was found to have HGD at the cystic duct margin. Following evaluation, she underwent excision of the cystic duct remnant with no malignancy being present on final pathology. We present this case to discuss the management of cystic duct dysplasia in the absence of gallbladder malignancy.

  • Pancreas And Biliary Tract
  • Cancer Intervention

https://doi.org/10.1136/bcr-2016-218994

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    Footnotes

    • Contributors MAM wrote the discussion. AT wrote the presentation. GM-S revised and supervised.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.