Pseudotumoral paracoccidioidomycosis of the bile ducts: case report

Paracoccidioidomycosis is a systemic granulomatous disease restricted to Latin America, caused by the dimorphic fungus Paracoccidioides brasiliensis.It typically occurs in chronic form, affecting the lungs, skin and lymph nodes.Rarely, paracoccus infection can simulate a neoplasm, especially in abdominal organs, and must be considered as a differential diagnosis of cholangiocarcinoma, especially in patients coming from endemic areas, even in those without routine exposure to contaminated soil.We report two cases of paracoccidioidomycosis simulating distal and perihilar cholangiocarcinoma.