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KMID : 0359020080370060459
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 6 p.459 ~ p.463
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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
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Cho Myoung-Jin
Oh Mi-Na
Baek Hoon-Ki
Cho Ki-Sung
Kang Ji-Hun
Lee Young-Jae
Kim Ji-Woong
Cho Jin-Woong
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Abstract
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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.
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KEYWORD
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Anomalous drainage, Common bile duct, Duodenal bulb, Acute cholangitis, Duodenal ulcer
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