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Multifocal Biliary Adenoma Involving the Gallbladder and Common Bile Duct Presenting With Obstructive Jaundice: A Case Report

Year: 2025

Type: article

Abstract: Biliary adenomas are rare neoplastic processes of the gallbladder and extrahepatic biliary tree that are pre-malignant. These tumors infrequently present with obstructive jaundice, which is more suggestive of underlying invasive malignancy. Here, we present a case of multifocal biliary adenoma without invasive cancer in a 70-year-old man who presented with jaundice. Initial laboratory results and imaging suggested a malignant process, prompting surgical resection. Intraoperative findings and histopathologic examination revealed a multifocal tubulovillous adenoma involving the gallbladder and distal common bile duct. The patient ultimately underwent a curative pancreatoduodenectomy procedure. This case demonstrates multifocal biliary adenoma presenting as jaundice without underlying malignancy. Surgical treatment is necessary to relieve symptoms and prevent the progression to carcinoma.

Source: Cureus

DOI: 10.7759/cureus.93487

Authors: Austin Guadarrama, Tyler Mouw, Edwin O Onkendi, Mohamad Sidani, Kanak Das, Luis Brandi

Institutions: Texas Tech University, Texas Tech University Health Sciences Center

Language: English

Topic: Cholangiocarcinoma and Gallbladder Cancer Studies

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414610044