Duplication of the common bile duct manifesting as recurrent pyogenic cholangitis:A case report

作     者：Jun Seong Hwang Sung Woo Ko 

作者机构：Internal MedicineInje University Haeundae Paik HospitalInje College of MedicineBusan 48108South Korea Internal MedicineEunpyeong St.Mary's HospitalCatholic University of KoreaSeoul 03312South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2021年第27卷第4期

页      面：371-376页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Double common bile duct Common bile duct disease Choledocholithiasis Cholangitis Endoscopic retrograde cholangiopancreatography Case report 

摘      要：BACKGROUND Duplication of the extrahepatic bile duct(DCBD)is an extremely rare congenital anomaly of the biliary *** are five types of DCBD according to the latest *** them,Type V is characterized by single drainage of the extrahepatic bile *** on DCBD Type V are *** SUMMARY A 77-year-old woman presented with recurrent epigastric pain but without fever or *** tomography revealed a dilated common bile duct(CBD)that harboured multiple *** retrograde cholangiopancreatography(ERCP)was performed,and the stones were extracted using a Dormia *** was discharged without any complications;however,she visited the emergency department a day after she was discharged due to epigastric pain and *** findings were suggestive of *** urgent ERCP for stone removal,magnetic resonance cholangiopancreatography was performed to evaluate remnant *** resonance cholangiopancreatography revealed a DCBD Type Va and remnant choledocholithiasis in the right *** CBDs were accessed,and the stones were cleared successfully during a subsequent *** In this article,we report an extremely rare case of DCBD manifesting as recurrent pyogenic *** case highlights the importance of recognizing DCBD because stones in the unrecognized bile duct could make the patient’s prognosis critical.