Duodenal stenosis associated with an ectopic opening of the common bile duct into the duodenal bulb: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-12-16

AUTHORS

Kazuki Kobayashi, Michinori Murayama, Hidekazu Sugasawa, Makoto Nishikawa, Kiyoshi Nishiyama, Hiroaki Takeo

ABSTRACT

BackgroundEctopic 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 presentationA 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.ConclusionsEctopic 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. More... »

PAGES

257

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40792-021-01351-z

DOI

http://dx.doi.org/10.1186/s40792-021-01351-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1143945169

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34914022


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