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| Bugbee flexible electrocautery facilitates choledochoscopic biopsy, fulguration, and debulking of a high grade intraductal papillary neoplasm of the bile duct |
| Ravi N Srinivasa ∗, Rajiv N Srinivasa, Joseph J Gemmete, Jeffrey Forris Beecham Chick |
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
∗Corresponding author.
E-mail address: medravi@gmail.com (R.N. Srinivasa) |
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Abstract To the Editor:
Intraductal papillary neoplasm of the bile duct (IPNB) may occur in the setting of primary sclerosing cholangitis, choledochal cysts or hepatolithiasis [1]. The entity may be a precursor of cancer or intrahepatic cholangiocarcinoma. Invasive carcinoma, tubular or mucinous adenocarcinoma is present in approximately 40%−80% of IPNBs [1–3]. IPNB is frequently found in the resection margins of patients undergoing hepatectomy for cholangiocarcinoma [4]. This report describes a patient with obstructive jaundice secondary to IPNB who underwent interventional radiology-operated choledochoscopic-guided flexible electrocautery and fulguration to facilitate diagnostic biopsy and debulking of intrabiliary tumor.
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2018, Vol. 17 
