PT  - JOURNAL ARTICLE
AU  - Aprajita Chaturvedi
AU  - Manjunath Maruti Pol
AU  - Kirti Jangra
AU  - Priyanka Singh
TI  - Intraductal papillary neoplasm of bile duct: all rare in one
AID  - 10.1136/bcr-2020-237001
DP  - 2020 Nov 01
TA  - BMJ Case Reports
PG  - e237001
VI  - 13
IP  - 11
4099  - http://casereports.bmj.com/content/13/11/e237001.short
4100  - http://casereports.bmj.com/content/13/11/e237001.full
SO  - BMJ Case Reports2020 Nov 01; 13
AB  - A 45-year-old woman was referred from Department of Dermatology to Surgery outpatient department with pruritus since 6 months and an episode of jaundice that lasted for 15 days about 6 months ago. She was referred with a contrast-enhanced MRI finding that showed a small lesion in the lower end of common bile duct. Endoscopy-guided biopsy was performed twice at our hospital, the second revealed low grade dysplasia. Consequently, she underwent pancreaticoduodenectomy. Intraoperatively, there were both vascular and biliary anatomical variations that were missed on preoperative images. On histopathological examination, it turned out to be a mixed variety of intraductal papillary neoplasm of bile duct (IPNB). As all findings were rare in one, hence, we present this case of IPNB that presented to us with variable clinical, radiological, surgical and pathological findings.