Papillomatosis arising from the biliary tree is a well recognized but rare
entity. We encountered two patients with this condition. However, one of th
em had associated hepatocellular carcinoma and cirrhosis and the other had
concomitant recurrent pyogenic cholangitis. To our knowledge, these associa
tions have not been reported before. We, therefore, present these clinical
problems and highlight the added difficulty in the management of these pati
ents. (C) 1999 Blackwell Science Asia Pty Ltd.