Ectopic Opening of the Common Bile Duct into the Duodenal Bulb Accompanied with Cholangitis and Gallbladder Cancer: A Report of Two Cases
نویسندگان
چکیده
An ectopic opening of the common bile duct (CBD) into the duodenal bulb is a very rare congenital anomaly of the biliary system, which may cause recurrent duodenal ulcer or biliary diseases such as choledocholithiasis and cholangitis. Endoscopic retrograde cholangiopancreatography (ERCP) plays a major role in the diagnosis of this anomaly. We report two such cases: one in a 61-year-old man and the other in a 57-year-old man. In the first case, this anomaly caused acute cholangitis with multiple CBD stones, which were successfully treated by ERCP. In the second case, abdominal computed tomography showed pneumobilia, which was further evaluated using ERCP. Besides, this patient was diagnosed with an ectopic opening of the CBD associated with gallbladder cancer. We report these unusual cases and review the relevant medical literature.
منابع مشابه
A case of gallbladder cancer combined with ectopic individual opening of pancreatic and bile ducts to the duodenal bulb
Ectopic opening of the pancreatic and bile ducts (EOPBD) into the duodenal bulb is an extremely rare congenital anomaly with unknown clinical implications. We presented a case of gallbladder cancer with EOPBD into the duodenal bulb. A 57-year-old male was referred to our hospital with intermittent right upper abdominal pain. Endoscopic retrograde cholangiopancreatography and magnetic resonance ...
متن کاملAnomalous opening of the common bile duct into the duodenal bulb: endoscopic treatment
BACKGROUND Anomalous biliary opening especially the presence of the ampulla of Vater in the duodenal bulb is a very rare phenomenon. We report clinical implications, laboratory and ERCP findings and also therapeutic approaches in 53 cases. METHODS The data were collected from the records of 12.158 ERCP. The diagnosis was established as an anomalous opening of the common bile duct (CBD) into t...
متن کاملDouble common bile duct visualized by SpyGlass cholangioscopy.
ly rare anomaly of the biliary tract system, which was first described by Vesalius in 1543 [1]. Recent advances in radiologic examinations have facilitated the correct diagnosis and management of this condition, but visualization of the anomaly using cholangioscopy has not been reported [2]. We report the finding of a double common bile duct with ectopic drainage into the duodenal bulb, which w...
متن کاملThe clinical presentations of ectopic biliary drainage into duodenal bulbus and stomach with a thorough review of the current literature
BACKGROUND Ectopic biliary drainage is a rare congenital anomaly on which we have scarce data in the current literature. METHODS The data were collected from the records of 400 endoscopic retrograde cholangio-pancreatography (ERCP). In this report, we present 10 cases (male/female: 9/1, mean age 54 years, range 38-74) with ectopic biliary openings into the duodenum and/or stomach diagnosed by...
متن کاملEstablishment of a novel rat model of severe acute cholangitis
Objective(s):This study aimed to establish a novel non-binding, reversible rat model of acute cholangitis of the severe type (ACST). Materials and Methods:Twenty-six rats were randomly divided into the sham-operated group (n=13) and the ACST group (n=13). All rats were intubated with a modified catheter through the external jugular vein. The ACST model was established by ligation of the distal ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 48 شماره
صفحات -
تاریخ انتشار 2015