A case of double choledochus with intrahepatic-stones and stenosis of left hepatic duct.

Iihara, Keisuke; Ooue, Masayuki; Takami, Kouji; Miyosi, Yasuo; Misima, Hideyuki; Nagaoka, Hiroto; Kurokawa, Eiji; Akashi, Hideo; Mizumoto, S; Aoki, Yukitoshi

doi:10.5833/jjgs.22.2736

Cited by 4 publications

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“…In fact, diseases related with the biliary system are reported frequently in patients with ectopic CBD opening[2-4,9,11-18]. In this study, CBD dilatation was found in 94% of the cases with or without intrahepatic biliary dilatation.…”

Section: Discussionmentioning

confidence: 46%

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

et al. 2007

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Section: Discussionmentioning

confidence: 46%

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

et al. 2007

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“… 1 - 6 Normal sphincteric musculature is absent around the entrance of accessory bile ducts into the gastrointestinal tract. 14 , 18 In our case series, we found diffuse dilatation in both extrahepatic and intrahepatic bile ducts in all patients. We did not identify any stricture preventing biliary drainage on cholangiography in any patients.…”

Section: Discussionsupporting

confidence: 51%

Ectopic Opening of Common Bile Duct into Duodenal Bulb and Gastric Antrum and Its Importance

et al. 2022

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Background: Ectopic opening of the common bile duct (CBD) is extremely rare, and its importance has not been adequately defined. The aim of our study is to present the characteristics of patients with this abnormality. Methods: This retrospective study was conducted in a tertiary center in Dicle University Hospital, Diyarbakır, Turkey, between October 2008 and December 2020. We present clinical, laboratory, endoscopic and cholangiographic features as well as the success rate of therapeutic interventions of consecutive patients with this abnormality undergoing endoscopic retrograde cholangiopancreatography (ERCP). Results: Ectopic opening of the CBD was identified in 29 (21 men; mean age 62) out of 3872 (0.74%) patients. There was a history of cholecystectomy in 14 (48%) and recurrent acute cholangitis in 20 (69%) patients. We found peptic ulcer in 13 (45%) and duodenal deformity associated with apical stenosis in 21 (72%) patients. Opening site was seen as abnormal in all patients, and it opened into the antrum in 2 (6.8%) and into the first part of the duodenum in 27 (93%) patients. Copious amount of bile and/ or bile sediment in the stomach were seen in all patients. We observed dilatation in both intrahepatic and extrahepatic bile ducts together with tapered narrowing and a hook-shaped distal end of CBD in all patients. There was bile stone in 26 (89%) and sludge in 3 (10%) patients. Sphincterotomy was not performed in any patients because there was not enough incision distance. Balloon dilatation was performed for extraction of stone and sludge in all patients. Complete stone extraction was achieved in only 7 out of 26 (27%) patients. Conclusion: Ectopic opening of CBD is usually associated with gastroduodenal and bile ducts disease. Endoscopic treatment is unsatisfactory in most patients with this abnormality.

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“…Our patient had developed a slight fever daily for no less than 3 years before detection; few cases like this have been reported, which may be accounted on the basis of cholangitis from reflux of the stomach contents. Accompanying congenital anomalies were found in 12 cases [7,[11][12][13][14][15], including duodenal atresia (four cases), congenital biliary dilatation (three cases), absence of the gallbladder (two cases), abnormal confluence of the intrahepatic bile duct (two cases), sinistrocardia with situs inversus (two cases), and left hepatic duct stricture (one case). From 1543-1932, all 16 cases were found at autopsy, and after 1935 these anomalies were also discovered by surgeons [8].…”

Section: Discussionmentioning

confidence: 99%

“…Egawa reported the first case of double common bile duct detected on barium meal study of the stomach in 1968 [9], and ours is the twelfth such case. The 11 reports with histological investigation confirmed an absence of sphincteric musculature of the accessory bile duct at the entrance to the gastrointestinal tract [8,10,13,[16][17][18][19]. Barium reflux into the accessory bile duct may show an absence or failure of sphincteric function.…”

Section: Discussionmentioning

confidence: 99%

Accessory bile duct draining into the stomach: Case report and review

Kanematsu

Imaeda

Seki

et al. 1992

Gastrointest Radiol

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Accessory bile duct with ectopic drainage into the gastrointestinal tract is an extremely rare congenital anomaly, and only 55 cases have been reported in the literature. We present another case of accessory bile duct draining into the stomach. Barium meal study of the stomach first revealed the accessory bile duct, and the diagnosis was confirmed by gastrofiberscopy, ultrasonography, hepatobiliary scintigraphy, computed tomography (CT), and endoscopic retrograde cholangiopancreatography (ERCP).

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A case of double choledochus with intrahepatic-stones and stenosis of left hepatic duct.

Cited by 4 publications

References 0 publications

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

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

Ectopic Opening of Common Bile Duct into Duodenal Bulb and Gastric Antrum and Its Importance

Accessory bile duct draining into the stomach: Case report and review

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