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February 1969

Primary Adenocarcinoma in a Cystic Duct Stump: Report of a Case and Review of the Literature

Author Affiliations

Brooklyn, NY
From the departments of surgery, Maimonides Medical Center and State University of New York Downstate Medical Center, Brooklyn, NY.

Arch Surg. 1969;98(2):225-227. doi:10.1001/archsurg.1969.01340080117026

Carcinoma of the bile ducts was first recognized as a distinct clinical and pathological entity by McNeal in 1835. Its occurrence is uncommon, and it comprises a small percentage of all malignancies. Even rarer is primary adenocarcinoma of a cystic duct stump. To our knowledge no instance of this entity has been reported, and we therefore present the following case.

Report of a Case  A 57-year-old white man (35405) was admitted to Maimonides Medical Center Feb 19, 1967, complaining of increasingly severe episodes of sharp right upper-quadrant and epigastric pains of two months' duration. The pain occasionally radiated to the left lower quadrant and was associated with loose bowel movements in which neither blood nor mucus was grossly visible.Six years previously, the patient had had a cholecystectomy. The operative diagnosis was benign cholelithiasis. One year prior to admission the patient had been hospitalized for similar pains. An intravenous cholangiogram