A case of ectopic opening of the common bile duct (CBD) associated with hematemesis / 대한내과학회지
Korean Journal of Medicine
;
: 685-688, 2008.
Article
in Korean
| WPRIM
| ID: wpr-169543
ABSTRACT
Ectopic opening of the common bile duct (CBD) in the duodenal bulb is not an incidental finding, but a pathologic condition that can be associated with clinical entities, such as recurrent duodenal ulcer, choledocholithiasis. or cholangitis. We report a case of ectopic CBD with hematemesis in a 61 year-old male patient. Esophagogastroduodenoscopy showed several active ulcers with a fresh blood clot at the duodenal bulb, which had a mucosal deformity and a small opening with suspicious drainage of bile, and the second part of the duodenum had no papilla-like structure. MRCP showed a trident-like pancreatobiliary tree. The biliary tree was visualized via a suspicious ectopic opening of the bile duct at the duodenal bulb. The distal CBD looked hook-shaped and had no filling defect. We report a unique case of ectopic opening of the CBD in the duodenal bulb, which presented as hematemesis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Congenital Abnormalities
/
Ulcer
/
Bile
/
Bile Ducts
/
Biliary Tract
/
Drainage
/
Hematemesis
/
Cholangitis
/
Endoscopy, Digestive System
/
Common Bile Duct
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2008
Type:
Article
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