An unusual variant of type I common bile duct duplication associated with ampullary carcinoma.

Autor: Bancu A; Department of Cellular Pathology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK., Poundall T; Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK., Santos C; Department of Cellular Pathology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK., Higashi Y; Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK., Zaitoun AM; Department of Cellular Pathology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK.; Nottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.; National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, UK., Lobo DN; Nottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.; National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, UK.; David Greenfield Metabolic Physiology Unit, MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.; Division of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jazyk: angličtina
Zdroj: Archive of clinical cases [Arch Clin Cases] 2024 Jul 16; Vol. 11 (2), pp. 56-60. Date of Electronic Publication: 2024 Jul 16 (Print Publication: 2024).
DOI: 10.22551/2024.43.1102.10289
Abstrakt: Common bile duct duplications represent exceptionally rare congenital anomalies of the biliary tract. In this case report we document an unusual variant of common bile duct duplication in a 79-year-old man who underwent a pancreaticoduodenectomy for ampullary cancer. The duplication consisted of two unseparated, completely-layered, common bile ducts which originated above the cystic duct junction and terminated prior to the point of insertion into the pancreas, where the two lumens converged into a single duct. Duplication of the bile duct is rare and often goes undetected. In the present case, the anomaly was found incidentally in a patient who had a pancreaticoduodenectomy for an ampullary carcinoma. However, duplication may be associated with choledocholithiasis, cholangitis, pancreatitis, and pancreaticobiliary malignancies and it is important to be aware of the condition.
Competing Interests: None of the authors has a direct conflict of interest to declare. DNL has received an unrestricted educational grant from B. Braun for unrelated work. He has also received speaker’s honoraria for unrelated work from Abbott, Nestlé and Corza.
Databáze: MEDLINE