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double common bile duct: A case report

World Journal of Gastroenterology 2007年第27期13卷 3770-3772页

作者： Srdjan P Djuranovic Milenko B Ugljesic Nenad S Mijalkovic Viktorija A Korneti Nada V Kovacevic Tamara M Alempijevic Slaven V Radulovic Dragan V Tomic Milan M Spuran Clinic for Gastroenterology and Hepatology Clinical Center of Serbia Belgrade Serbia 1st Surgical Clinic Clinical Center of Serbia Belgrade Serbia

double common bile duct （DCBD） is a rare congenital anomaly in which two common bile ducts exist. One usually has normal drainage into the papilla duodeni major and the other usually named accessory common bile duct （ACBD） opens in different parts of upper gastrointestinal tract （stomach, duodenum, ductus pancreaticus or septum）. This anomaly is of great importance since it is often associated with biliary lithiasis, choledochal cyst, anomalous pancreaticobiliary junction （APBJ） and upper gastrointestinal tract malignancies. We recently recognized a rare case of DCBD associated with APB3 with lithiasis in better developed common bile duct. The opening site of ACBD was in the pancreatic duct. The anomaly was suspected by transabdominal ultrasonography and finally confirmed by endoscopic retrograde cholangiopancreatography （ERCP） followed by endoscopic sphincterotomy and stone extraction. According to the literature, the existence of DCBD with the opening of ACBD in the pancreatic duct is most frequently associated with APB3 and gallbladder carcinoma. In case of DCBD, the opening site of ACBD is of greatest clinical importance because of its close implications with concomitant pathology. The adequate diagnosis of this rare anomaly is significant since the operative complications may occur in cases with DCBD which is not recognized prior to surgical treatment.

关键词： double common bile duct Accessory common bile duct Anomalous pancreaticobiliary junction

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

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World Journal of Gastroenterology 2021年第4期27卷 371-376页

作者： Jun Seong Hwang Sung Woo Ko Internal Medicine Inje University Haeundae Paik HospitalInje College of MedicineBusan 48108South Korea Internal Medicine Eunpyeong St.Mary's HospitalCatholic University of KoreaSeoul 03312South Korea

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.

关键词： double common bile duct common bile duct disease Choledocholithiasis Cholangitis Endoscopic retrograde cholangiopancreatography Case report

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