Nicholas A Puleo
Papers
1
Total Citations
2
H-Index
1
About
Nicholas A. Puleo is a clinical researcher focused on hepatobiliary and pancreatic pathology, with a particular emphasis on rare congenital anomalies and their malignant potential. His work centers on the intersection of anatomical variation, surgical risk, and oncologic outcomes. Puleo’s most cited contribution is a 2024 case report detailing the exceptionally rare triad of pancreaticobiliary maljunction (PBM), choledochal cyst, and cholangiocarcinoma in a 45-year-old white male. This report, cited twice, provides a critical clinical roadmap for recognizing PBM—a condition where the pancreatic and bile ducts join outside the duodenal wall—and its association with biliary carcinogenesis. By documenting this unusual presentation, Puleo underscores the importance of early detection and prophylactic surgery in preventing malignancy. His work serves as a valuable reference for surgeons and gastroenterologists managing complex biliary anomalies, highlighting how subtle anatomical variants can drive life-threatening disease. Puleo’s research contributes to the growing literature on risk stratification in choledochal cyst management and reinforces the need for heightened clinical suspicion in adult patients with unexplained biliary symptoms.
Research Focus
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Top Papers
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