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KMID : 0359020080370060459
Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 6 p.459 ~ p.463
A Case of an Anomalous Opening of the Common Bile Duct and Pancreatic Duct into the Duodenal Bulb, and the Patient Presented with Acute Cholangitis and Recurrent Duodenal Ulcer
Cho Myoung-Jin

Oh Mi-Na
Baek Hoon-Ki
Cho Ki-Sung
Kang Ji-Hun
Lee Young-Jae
Kim Ji-Woong
Cho Jin-Woong
Abstract
There are various congenital anomalies of the biliary system, but an ectopic opening of the common bile duct into the duodenal bulb is an extremely rare finding. Despite the recent improvement in the diagnosis and management of pancreatobiliary lesions, the general lack of knowledge and understanding about these variations is undoubtedly responsible for many of the problems that occur during the medical and surgical management of these lesions. We report here on a case of a 65-year-old man who had an ectopic opening of the common bile duct into the duodenal bulb, and this cause acute cholangitis with bile duct sludge, and also recurrent duodenal ulcer. In this case, we used abdomen CT, MRCP, duodenoscopy, EUS and ERCP for making the diagnosis. The cholangitis and duodenal ulcer was improved with medical therapy, and the patient was discharged without any surgical procedure. We report here on this unusual case and we include a review of the relevant medical literature.
KEYWORD
Anomalous drainage, Common bile duct, Duodenal bulb, Acute cholangitis, Duodenal ulcer
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학술진흥재단(KCI) KoreaMed 대한의학회 회원