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 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.

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.

Clinical delineation of an adult female patient with a rare interstitial 10q24.32q25.1 microdeletion

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Fernanda S. Jehee ◽  
Tia Bouma ◽  
Arjan Bouman
Keyword(s):  
Female Patient ◽  
Adult Female ◽  
Adult Female Patient
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