Carcinoids of the extrahepatic bile ducts and particularly the common bile
duct are extremely rare. A 65-year-old woman presented with obstructive jau
ndice. Laboratory and imaging studies gave results that were consistent wit
h an obstructing lesion in the common bile duct. In this case, a stent was
inserted initially to decompress the bile ducts. Subsequently a laparotomy
and pancreaticoduodenectomy were per formed and a tissue diagnosis of carci
noid of the common bile duct was made. The patient was well with no evidenc
e of recurrence 17 months postoperatively. The authors believe this is the
19th reported case of an extrahepatic bile duct carcinoid.