Published online Mar 14, 2015. doi: 10.3748/wjg.v21.i10.3150
Peer-review started: July 20, 2014
First decision: August 15, 2014
Revised: September 14, 2014
Accepted: October 14, 2014
Article in press: October 15, 2014
Published online: March 14, 2015
Processing time: 239 Days and 18.1 Hours
Familial adenomatous polyposis (FAP) or Gardner’s syndrome is often accompanied by adenomas of the stomach and duodenum. We experienced a case of adenomas of the common bile duct in a 40-year-old woman with FAP presenting with acute cholangitis. Only 8 cases of adenomas or adenocarcinoma of the common bile duct have been reported in the literature in patients with FAP or Gardner’s syndrome. Those patients presented with acute cholangitis or pancreatitis. Local excision or Whipple procedure may be the reasonable surgical option.
Core tip: Adenomas or adenocarcinoma in familial adenomatous polyposis (FAP) and Gardner’s syndrome are less frequently in the common bile duct (CBD). We report a case of FAP associated with CBD adenomas presenting with symptoms of acute cholangitis and cured after a radical Whipple procedure.
