Spontaneous Perforation of Common Bile Duct in a Child with a Clinical Manifestation of Acute Abdominal Distension: A Case Report

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.

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Detection of the common bile duct in difficult bile duct exploration using indocyanine green fluorescence imaging: a case report

Photodiagnosis and Photodynamic Therapy ◽

10.1016/j.pdpdt.2021.102610 ◽

2021 ◽

pp. 102610

Author(s):

Piao Wang ◽

Cheng Fang ◽

Hao-min Lin ◽

Xu-jia Li ◽

De Luo ◽

...

Keyword(s):

Case Report ◽

Bile Duct ◽

Common Bile Duct ◽

Indocyanine Green ◽

Fluorescence Imaging ◽

Green Fluorescence ◽

Indocyanine Green Fluorescence ◽

Indocyanine Green Fluorescence Imaging ◽

The Common

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A CASE REPORT OF THE SEPTAL FORMATION OF THE COMMON BILE DUCT

The journal of the Japanese Practical Surgeon Society ◽

10.3919/ringe1963.56.805 ◽

1995 ◽

Vol 56 (4) ◽

pp. 805-810

Author(s):

Susumu TAKAMATSU ◽

Hiroshi NAKAMURA ◽

Kunio SUGIHARA ◽

Mitsuo ENDO ◽

Takashi NAMAMURA

Keyword(s):

Case Report ◽

Bile Duct ◽

Common Bile Duct ◽

The Common

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Refractory peritonitis by spontaneous perforation of the common bile duct in a patient receiving peritoneal dialysis

Renal Replacement Therapy ◽

10.1186/s41100-017-0132-9 ◽

2017 ◽

Vol 3 (1) ◽

Author(s):

Manabu Hayata ◽

Junji Yamashita ◽

Kentaro Tokunaga ◽

Masashi Ejima ◽

Katsuyuki Sagishima ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Bile Duct ◽

Common Bile Duct ◽

Spontaneous Perforation ◽

The Common ◽

Refractory Peritonitis

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Gallstone Ileus following Endoscopic Stone Extraction

Case Reports in Gastrointestinal Medicine ◽

10.1155/2014/271571 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Yoshiya Yamauchi ◽

Noritaka Wakui ◽

Yasutsugu Asai ◽

Nobuhiro Dan ◽

Yuki Takeda ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Gallstone Ileus ◽

Balloon Catheter ◽

Common Bile Duct Stones ◽

Abdominal Distension ◽

Abdominal Ultrasonography ◽

Stent Occlusion ◽

Plastic Stent ◽

Rosai Hospital

An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones.

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