Retrospective analysis of cases with an ectopic opening of the common bile duct into duodenal bulb

Autor: Sehmuz Olmez, Bünyamin Saritaş, Adnan Taş, Nevin A Öztürk, Banu Kara, Mehmet Suat Yalçın
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Cholangiopancreatography
Magnetic Resonance
Duodenum
Medicine (miscellaneous)
Extrahepatic Cholestasis
digestive system
Gastroenterology
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
0302 clinical medicine
Internal medicine
Duodenal bulb
Internal Medicine
medicine
Humans
Pharmacology (medical)
Genetics (clinical)
Aged
Retrospective Studies
Ultrasonography
Aged
80 and over
Cholangiopancreatography
Endoscopic Retrograde
Common Bile Duct
Magnetic resonance cholangiopancreatography
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
Common bile duct
business.industry
Middle Aged
medicine.disease
digestive system diseases
medicine.anatomical_structure
Pancreatitis
030220 oncology & carcinogenesis
Abdominal ultrasonography
Reviews and References (medical)
Acute pancreatitis
Female
030211 gastroenterology & hepatology
Tomography
X-Ray Computed
business
Zdroj: Advances in Clinical and Experimental Medicine. 27:1361-1364
ISSN: 1899-5276
DOI: 10.17219/acem/69691
Popis: Background Ectopic opening of the common bile duct (EOCBD) is a very rare entity. It has been reported in the 3rd or 4th portion of the duodenum, pyloric canal, duodenal bulb, and the stomach. Objectives The aim of this study was to evaluate the clinical characteristics, laboratory values and imaging studies of patients with EOCBD into the duodenal bulb retrospectively. Material and methods The files of patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) between January 2003 and November 2015 were reviewed. The demographic data, presentations, abdominal ultrasonography, computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and ERCP findings of patients with EOCBD into the duodenal bulb were evaluated retrospectively. Results Ectopic openings of the CBD into the duodenal bulb were found in 20 out of 3,270 patients who had undergone ERCP. Twenty patients (15 males and 5 females) with a median age of 59 (40-88) years were included in the study. Ectopic opening of the CBD into the duodenal bulb were found in 20 patients (0.61%). Laboratory test abnormalities included: hyperbilirubinemia in 20 (100%) patients, leukocytosis in 14 (70%) patients, an elevated serum alkaline phosphatase and gamma-glutamyl transferase level in 20 (100%) patients. Indications for ERCP were CBD dilatation and extrahepatic cholestasis (n = 20), cholangitis (n = 12), only choledocholithiasis (n = 7), and acute pancreatitis (n = 2). Conclusions In patients with recurrent duodenal ulcers and/or apical stricture with accompanying CBD dilatation, extrahepatic cholestasis and cholangitis, EOCBD into the duodenal bulb should be considered.
Databáze: OpenAIRE
Externí odkaz: