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KMID : 0882420080750060685
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Korean Journal of Medicine
2008 Volume.75 No. 6 p.685 ~ p.688
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A case of ectopic opening of the common bile duct (CBD) associated with hematemesis
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Jeong Ji-Hyun
Lee Tae-Hee
Yang Seong-Wook
Kim Seong-Min
Kim Sun-Moon
Im Euyi-Hyeog
Huh Kyu-Chan
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Abstract
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Ectopic opening of the common bile duct (CBD) in the duodenal bulb is not an incidental finding, but a pathologic condition that can be associated with clinical entities, such as recurrent duodenal ulcer, choledocholithiasis. or cholangitis. We report a case of ectopic CBD with hematemesis in a 61 year-old male patient. Esophagogastroduodenoscopy showed several active ulcers with a fresh blood clot at the duodenal bulb, which had a mucosal deformity and a small opening with suspicious drainage of bile, and the second part of the duodenum had no papilla-like structure. MRCP showed a trident-like pancreatobiliary tree. The biliary tree was visualized via a suspicious ectopic opening of the bile duct at the duodenal bulb. The distal CBD looked hook-shaped and had no filling defect. We report a unique case of ectopic opening of the CBD in the duodenal bulb, which presented as hematemesis. (Korean J Med 75:685-688, 2008)
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KEYWORD
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Ectopic common bile duct, Ulcer, Hematemesis
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