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 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.

Ectopic opening of the common bile duct in the duodenal bulb: Clinical implications

2003 ◽  
Vol 57 (6) ◽  
pp. 679-682 ◽  
Author(s):  
Sang Soo Lee ◽  
Myung-Hwan Kim ◽  
Sung-Koo Lee ◽  
Kyu-Pyo Kim ◽  
Hong Ja Kim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Duodenal Bulb ◽  
Clinical Implications ◽  
The Common

scholarly journals Magnet-assisted endoscopic choledochoduodenostomy in anomalous opening of the common bile duct into the duodenal bulb

Endoscopy ◽  
2020 ◽  
Vol 52 (10) ◽  
pp. E386-E387
Author(s):  
Bülent Ödemiş ◽  
Batuhan Başpınar ◽  
Serkan Torun ◽  
Orhan Coşkun
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Duodenal Bulb ◽  
The Common

scholarly journals Anomalous opening of the common bile duct into the duodenal bulb: endoscopic treatment

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Selcuk Disibeyaz ◽  
Erkan Parlak ◽  
Bahattin Cicek ◽  
Cem Cengiz ◽  
Sedef O Kuran ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Treatment ◽  
Duodenal Bulb ◽  
The Common

Heterotopic Gastric Mucosa in the Common Bile Duct With Cholangiocarcinoma

2018 ◽  
Vol 26 (8) ◽  
pp. 745-748 ◽  
Author(s):  
Yeseul Kim ◽  
Min Jung Jung ◽  
Su-Jin Shin
Keyword(s):  
Bile Duct ◽  
Gastric Mucosa ◽  
Common Bile Duct ◽  
Heterotopic Gastric Mucosa ◽  
Resected Specimen ◽  
Wall Thickening ◽  
Distal Common Bile Duct ◽  
Gastric Heterotopia ◽  
Radiologic Findings ◽  
The Common

Gastric heterotopia within the biliary system is extremely rare. Moreover, the combination of gastric heterotopia in the bile duct with cholangiocarcinoma has not been reported. We describe a case of heterotopic gastric mucosa in the common bile duct with cholangiocarcinoma. An 80-year-old male was admitted with abdominal pain. Abdominal computed tomography revealed wall thickening from the hilar duct to the distal common bile duct. Biopsy from the distal bile duct showed only benign gastric foveolar-type epithelium and fundic glands. Although the diagnosis of the biopsy was benign, malignancy was strongly suspected from the radiologic findings, and excision of the bile ducts was performed. Microscopically, the resected specimen showed poorly formed malignant glands and gastric heterotopia also identified in the common bile duct. Three months later, the patient’s state worsened due to recurrence, and he died. To our knowledge, this is the first report of gastric heterotopia in the bile duct accompanying cholangiocarcinoma.

ERCP and CT findings of ectopic drainage of the common bile duct into the duodenal bulb.

1997 ◽  
Vol 169 (2) ◽  
pp. 517-520 ◽  
Author(s):  
H J Lee ◽  
H K Ha ◽  
M H Kim ◽  
Y K Jeong ◽  
P N Kim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Duodenal Bulb ◽  
Ct Findings ◽  
The Common
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