scholarly journals Groove Pancreatitis Associated with Transient Liver Injury Mimicking Ampullary Neoplasm

2020 ◽  
Vol 14 (2) ◽  
pp. 306-314
Author(s):  
Elrazi Awadelkarim Hamid Ali ◽  
Ahmed Emad  Mahfouz  ◽  
Akhnuwkh Jones  ◽  
Abdelatif Abdelmola ◽  
Mohamed A. Yassin
Keyword(s):  
Bile Duct ◽  
Alcohol Abuse ◽  
Common Bile Duct ◽  
Epigastric Pain ◽  
Male Smoker ◽  
Groove Pancreatitis ◽  
Main Challenge ◽  
Head Of The Pancreas ◽  
Common Bile Duct Dilatation ◽  
Severe Epigastric Pain

Groove pancreatitis is an unusual form of pancreatitis characterized by fibrous inflammation and pseudo-tumor in the area around the head of the pancreas. The underlying etiology is unknown but is strongly linked to alcohol abuse. We report a 52-year-old male smoker with hypertension, asthma, and alcohol abuse who was admitted with severe epigastric pain radiating to the back. He was found to have acute pancreatitis. A computed tomography scan of the abdomen showed a mass lesion in the peri-ampullary region. MRI of the abdomen revealed dilated common bile duct and duodenal mass and features suggestive of groove pancreatitis. During the hospital stay, bilirubin and liver enzymes started to rise and then decreased gradually to the previous normal range. The secondary workup for liver disease was unremarkable. The patient improved and was discharged. Six-month follow-up showed regression of the duodenal lesion and reduction in the common bile duct dilatation. Excluding malignancy remains the main challenge in managing groove pancreatitis, and a conservative approach is more reasonable in cases with a typical profile.

scholarly journals Pancreatitis of the Gastroduodenal Groove: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Vasileios German ◽  
Konstantinos A. Ekmektzoglou ◽  
Nicolaos Kyriakos ◽  
Paraskevas Patouras ◽  
Athanasios Kikilas
Keyword(s):  
Case Report ◽  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Male Patient ◽  
Surgical Approach ◽  
Pancreas Head ◽  
Groove Pancreatitis ◽  
Head Of The Pancreas ◽  
Over Time

Groove pancreatitis, a form of chronic pancreatitis affecting the head of the pancreas, is localized within the groove between the pancreas head, duodenum, and common bile duct. We report a case of a male patient with groove pancreatitis who initially underwent a duodenal preserving gastrenteranastomosis. Unfortunately, the patient's symptoms were only partially controlled, necessitating a pancreaticoduodenectomy in due course as the definite surgical restoration procedure. The surgical approach selected proved inadequate since the patient's symptoms did not resolve over time. This reflects that by-pass operations like these are not indicated for the management of patients with groove pancreatitis.

Spontaneous common bile duct perforation in an adult female patient presenting with severe epigastric pain mimicking acute pancreatitis

2016 ◽  
Vol 14 (2) ◽  
pp. 46
Author(s):  
MuhammadAbd El-Gawad Shawky ◽  
AmroMetwally Hassan ◽  
MohammedFakhry Mohammed ◽  
HamdyMahfouz Moustafa ◽  
Abd El-MonemAbd El-Fatah Mohammed ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Female Patient ◽  
Adult Female ◽  
Epigastric Pain ◽  
Severe Epigastric Pain ◽  
Adult Female Patient ◽  
Bile Duct Perforation

scholarly journals Duodenal stenosis associated with an ectopic opening of the common bile duct into the duodenal bulb: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuki Kobayashi ◽  
Michinori Murayama ◽  
Hidekazu Sugasawa ◽  
Makoto Nishikawa ◽  
Kiyoshi Nishiyama ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Epigastric Pain ◽  
Submucosal Tumor ◽  
Duodenal Bulb ◽  
Pancreatic Tumors ◽  
Resected Specimen ◽  
Duodenal Stenosis ◽  
Groove Pancreatitis ◽  
The Common

Abstract Background Ectopic opening of the common bile duct is a rare congenital biliary anomaly. Herein, we present a case of duodenal stenosis with ectopic opening of the common bile duct into the duodenal bulb. Case presentation A 54-year-old man was referred with fever, nausea, and vomiting. He had experienced epigastric pain several times over the past 30 years. Endoscopy showed a post-bulbar ulcer, a submucosal tumor of the duodenum, and a small opening with bile secretion. Contrast duodenography revealed duodenal stenosis and bile reflux with a common bile duct deformity. Pancreatoduodenectomy was performed because of the clinical suspicion of a biliary neoplasm or groove pancreatitis. The resected specimen showed an ectopic opening of the common bile duct into the duodenal bulb and no tumor. Conclusions Ectopic opening of the common bile duct into the duodenal bulb is complicated by a duodenal ulcer, deformity, and stenosis mimicking groove pancreatitis or pancreatic tumors. Although rare, we should be aware of this anomaly for an accurate diagnosis.

A Case Report of Ascariasis of the Common Bile Duct in a Patient Who Had Undergone Cholecystectomy

2000 ◽  
Vol 124 (8) ◽  
pp. 1231-1232
Author(s):  
Glenda Amog ◽  
Jeffrey Lichtenstein ◽  
Steven Sieber ◽  
Hani El-Fanek
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Epigastric Pain ◽  
Pancreatic Neoplasm ◽  
Ultrasound Finding ◽  
Laboratory Findings ◽  
Live Worm ◽  
Endoscopic Extraction ◽  
The Common

Abstract This is a case report of ascariasis of the common bile duct in a 65-year-old man from Colombia who had undergone prior cholecystectomy. The patient presented with postprandial epigastric pain and a 20-lb weight loss. The laboratory findings were remarkable for peripheral blood eosinophilia. The ultrasound finding was suggestive of periampullary or pancreatic neoplasm. He underwent endoscopic retrograde cholangiopancreatography with endoscopic extraction of a motile, live worm identified as Ascaris lumbricoides. Roundworm infestation should always be suspected in immigrants from endemic areas who present with hepatobiliary symptoms.

scholarly journals Common bile duct dilatation after cholecystectomy: a one-year prospective study

2012 ◽  
Vol 83 (2) ◽  
pp. 97 ◽  
Author(s):  
Seon Mee Park ◽  
Woo Seok Kim ◽  
Il-Hun Bae ◽  
Ji Hoon Kim ◽  
Dong Hee Ryu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Prospective Study ◽  
Bile Duct Dilatation ◽  
Duct Dilatation ◽  
Common Bile Duct Dilatation ◽  
One Year

scholarly journals Toothpick inside the Common Bile Duct: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
V. O. Brunaldi ◽  
M. O. Brunaldi ◽  
R. Masagao ◽  
C. Silva ◽  
H. Masuda ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Foreign Bodies ◽  
Epigastric Pain ◽  
Abdominal Ultrasound ◽  
Mortality Rates ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
The Common

The incidence and prevalence of foreign body (FB) ingestion are difficult to estimate. Unlike other foreign bodies, the ingestion of a toothpick is very uncommon and carries high morbidity and mortality rates. We report a case of a 73-year-old female patient presenting mid-term epigastric pain. Abdominal ultrasound revealed a slightly dilated common bile duct (CBD) and magnetic resonance showed an irregular filling failure in distal CBD and gallstones. Endoscopic Retrograde Cholangiopancreatography revealed major papilla on the edge of a diverticulum and confirmed the distal filling failure. After sphincterotomy, a partially intact toothpick was extracted from the CBD. Neither fistulas nor perforation signs were found. Literature related to foreign bodies and toothpick ingestion was reviewed and some hypotheses to explain the reported case were created. To our knowledge, this is the first report of a toothpick lodged inside the biliary tract.

How great is the incidence of truly congenital common bile duct dilatation?

1993 ◽  
Vol 28 (4) ◽  
pp. 622-625 ◽  
Author(s):  
Y. Yamashiro ◽  
M. Sato ◽  
T. Shimizu ◽  
S. Oguchi ◽  
T. Miyano
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Dilatation ◽  
Duct Dilatation ◽  
Common Bile Duct Dilatation

scholarly journals Post cholecystectomy common bile duct dilatation: a study from upper hills of Himachal Pradesh, India

2020 ◽  
Vol 8 (4) ◽  
pp. 1254
Author(s):  
Rajan Sood ◽  
Rinku Singh ◽  
Sumit Chawla
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Elective Surgery ◽  
Study Group ◽  
Bile Duct Dilatation ◽  
Post Operative Period ◽  
Ethical Approval ◽  
Common Bile Duct Dilatation ◽  
The Common ◽  
The Mean

Background: Relationship between cholecystectomy followed by postoperative dilatation of the common bile duct is uncertain. Various studies have shown variable results regarding the dilatation of common bile duct after cholecystectomy.Methods: This study was a 1-year prospective study conducted at IGMC, Shimla with consent and ethical approval from the committee. Total 50 cases of symptomatic cholelithiasis belonging to either sex admitted in Surgical Wards of IGMC Shimla for elective surgery were selected for the present study. Cholecystectomy was done in all cases, after doing all the investigations.Results: The mean preoperative CBD diameter in the study group was 4.2mm, 48 hours postoperatively was 5.58mm and at 1-month interval following cholecystectomy was 6.02mm, so the mean postoperative diameter observed was (6.02+5.58=5.8mm).Conclusions: Significant dilatation does occur in CBD which is purely compensatory as there was no evidence of any pathological dilatation. This dilatation occur only in early post-operative period till the CBD adapts to contain bile equal to the Gall Bladder.

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