A case of double common bile duct with gastric ulcer

DOI PubMed 2 Citations 34 References
  • FUKUDA Hirotoshi
    Department of Gastroenterology, Sasebo General Hospital
  • MIZUTA Yohei
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • OHBA Kazuo
    Department of Gastroenterology, Sasebo General Hospital
  • IKEDA Kohki
    Department of Gastroenterology, Sasebo General Hospital
  • ODA Hidetoshi
    Department of Gastroenterology, Sasebo General Hospital
  • ISOMOTO Hajime
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • SHIKUWA Saburo
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • KOHNO Shigeru
    Second Department of Internal Medicine, Nagasaki University School of Medicine

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Other Title
  • 胃潰瘍を合併した重複胆管症の1例

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Abstract

A 51-year-old man visited the Sasebo General Hospital because of a niche and a ductal lesion with reflux of barium in the lesser curvature of the gastric body in the upper gastrointestinal series of an annual medical checkup. Endoscopic examination showed an ulcer and a depressed lesion draining yellowish serous liquid in the stomach. Abdominal CT scan and MRCP revealed the ductal structure reached from the lesser curvature of the gastric body to the left lobe of the liver besides the ordinary pancreatobiliary system. ERCP showed normal common bile duct, gall bladder, and right intrahepatic bile duct, while the fistulography using cannula through the gastric depressed lesion revealed an accessory bile duct communicating to the left intrahepatic bile duct. The both biliary systems were completely separated, resulting in the diagnosis of double common bile duct of type IIIa.<br>

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