Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 14, 2008; 14(30): 4823-4825
Published online Aug 14, 2008. doi: 10.3748/wjg.14.4823
Diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography in biliary rhabdomyosarcoma
Ryan W Himes, Isaac Raijman, Milton J Finegold, Heidi V Russell, Douglas S Fishman
Ryan W Himes, Douglas S Fishman, Section of Pediatric Gastroenterology, Hepatology & Nutrition, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas 77030, United States
Isaac Raijman, Digestive Disease Associates of Houston, Houston, Texas 77030, United States
Milton J Finegold, Department of Pathology, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas 77030, United States
Heidi V Russell, Texas Children’s Cancer Center, Baylor College of Medicine, Houston, Texas 77030, United States
Author contributions: Himes RW managed the patient and prepared the manuscript; Raijman I managed the patient; Finegold MJ performed interpretation of pathological specimens and figures and revised the manuscript; Russell HV and Fishman DS managed the patient and revised the manuscript.
Correspondence to: Ryan W Himes, Section of Pediatric Gastroenterology, Hepatology & Nutrition, Baylor College of Medicine, Texas Children’s Hospital, 6621 Fannin St, CCC 1010.00, Houston, Texas 77030, United States. himes@bcm.tmc.edu
Telephone: +1-832-8223616 Fax: +1-832-8253633
Received: April 15, 2008
Revised: July 7, 2008
Accepted: July 14, 2008
Published online: August 14, 2008
Abstract

Biliary rhabdomyosarcoma (BRMS) is an uncommon childhood malignancy which has been managed surgically. We present a case of a 3-year-old boy with BRMS, in whom endoscopic retrograde cholangiopancreatography (ERCP) was successfully used both diagnostically and therapeutically, thus obviating the need for surgery and its attendant risks of morbidity and mortality. We conclude that ERCP is an effective alternative to surgery for BRMS in some patients.

Keywords: Pancreaticobiliary; Malignancy; Pediatric; Endoscopic retrograde cholangiopancreatography; Jaundice