Adenomyoma of the common bile duct: Report of a case

We report a case of adenomyoma in the common bile duct accompanied by obstr uctive jaundice. A 64-year-old woman presented with abdominal pain, fever, appetite loss and jaundice. Endoscopic retrograde cholangiopancreatography revealed possible stenosis in the distal common bile duct. We could not dis tinguish whether the tumor was benign or malignant based on the clinical pr esentation, or biochemical, radiographic, or endoscopic investigations. Pan creatoduodenectomy was performed. The histological diagnosis was adenomyoma . The natural history of and optimal treatment for, adenomyoma have not bee n established.