A 35-year-old woman presented with painless jaundice that on evaluation was attributed to a tumor at the confluence of the hepatic ducts. There was no evidence of tumor spread on preoperative workup. The tumor was resected and histologically was typical for carcinoid. There have been only ten previously described cases of bile duct carcinoid tumors excluding gallbladder and ampullary lesions. This study presents a discussion of the management of these tumors and a review of the literature.