Volume 3, Issue 2, Pages (February 2018)

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Volume 3, Issue 2, Pages 55-57 (February 2018) Intraductal papillary neoplasm of the bile duct: the role of single-operator cholangioscopy Janet W.C. Kung, PhD, MRCS, Rowan W. Parks, MD, FRCS, Hamish M. Ireland, MRCP, FRCR, Timothy J. Kendall, PhD, FRCPath, Nicholas I. Church, MD, MRCP VideoGIE Volume 3, Issue 2, Pages 55-57 (February 2018) DOI: 10.1016/j.vgie.2017.10.006 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, CT view showing hyperdense lesion (red arrow) in the left main hepatic duct and left intrahepatic biliary dilatation. B, MRCP view showing a filling defect (red arrow) in the left main hepatic duct close to the hilar bifurcation and left intrahepatic biliary dilatation. C, D, ERCP views showing a filling defect (red arrows) in the left hepatic duct with left intrahepatic biliary dilatation. VideoGIE 2018 3, 55-57DOI: (10.1016/j.vgie.2017.10.006) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 SpyGlass cholangioscopic view revealing a large villous tumor in the left hepatic duct, which was clear of the bifurcation and approximately 1 cm above it. VideoGIE 2018 3, 55-57DOI: (10.1016/j.vgie.2017.10.006) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Macroscopic appearance of the resected specimen showing the intraductal tumor (white arrow) within the left main hepatic duct. VideoGIE 2018 3, 55-57DOI: (10.1016/j.vgie.2017.10.006) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Histopathologic slides showing intraductal papillary neoplasm of the bile duct, gastric type, with low-to-intermediate dysplasia, but no invasion (A, H&E, orig. mag. x10, B, H&E, orig. mag. x20, C, H&E, orig. mag. x40.). VideoGIE 2018 3, 55-57DOI: (10.1016/j.vgie.2017.10.006) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions