Title

Mucobilia: Current Aspects in the Management of a Rare Cause of Malignant Biliary Obstruction

Sanford School of Medicine Affiliation

Transplantation and Surgery

Document Type

Article

Disciplines

Medicine and Health Sciences | Surgery

Publication Date

5-1-2010

Keywords

Bile Duct Neoplasms, Cholangitis, Cholestasis, Diagnostic Imaging, Digestive System Surgical Procedures, Gallstones, Humans, Jaundice, Obstructive, Mucins, Neoplasms, Multiple Primary, Pancreatic Neoplasms, Prognosis

Abstract

Mucobilia is a rare pathologic condition characterized by the abnormal secretion and accumulation of abundant mucus within the biliary tree. It is usually seen in association with mucin-producing hepatobiliary and pancreatic tumors. Neoplastic transformation of these tumors can range from low-grade dysplasia to invasive adenocarcinoma. Mucobilia usually presents with signs and symptoms of biliary obstruction, which may span from jaundice to cholangitis with progression to septic complications in severe cases. Occurrence of hepatolithiasis has also been attributed to mucobilia, which raises the concern of an increased risk for the development of cholangiocarcinoma. Precise radiological evaluation and detailed histopathological tissue diagnosis followed by execution of appropriate surgical therapy is vital in the integrated management of mucin-producing biliary neoplasms. This review will address the etiologies and symptomatology of mucobilia as well as discuss current aspects in the management of mucobilia and its causative etiologies.

Journal Title

Journal of Hepato-Biliary-Pancreatic Sciences

Volume

17

Issue

3

First Page

205

Last Page

210

PubMed ID

19590810

ISSN

1868-6982

MeSH Headings (Medical Subject Headings)

Bile Duct Neoplasms; Cholangitis; Cholestasis; Diagnostic Imaging; Digestive System Surgical Procedures; Gallstones; Humans; Jaundice, Obstructive; Mucins; Neoplasms, Multiple Primary; Pancreatic Neoplasms; Prognosis

DOI

10.1007/s00534-009-0150-2

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