Recurrent gastric ulcer and cholangitis caused by ectopic drainage of the bile duct into the stomach

Bauer, Katrin; Keller, Christof

doi:10.3205/iprs000114

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2024

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“…Yamashita et al reported that 80.1% of all patients with double common bile ducts experienced some symptoms, such as pain around the epigastric and right quadriceps [ 6 ]. These symptoms may occur owing to cholangitis and complicated ulcer formation in the distal stomach or bulbar duodenum [ 7 , 8 ]. In addition to benign diseases, malignant diseases such as gastric and gallbladder cancers are also associated with ectopic common bile ducts [ 4 , 9 ].…”

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confidence: 99%

An operative case of gastric cancer with ectopic bile duct drainage in the lesser curvature of the stomach

Hashimoto,

Ihara,

Maruyama

et al. 2024

surg case rep

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Background Among the various anomalies of the biliary system, a double common bile duct with ectopic drainage in the stomach is rare. Furthermore, ectopic bile ducts are extremely rare in gastric cancers. Case presentation A 67-year-old man was admitted to our hospital with gastric cancer and ectopic left extrahepatic bile duct drainage in the stomach. Pre-operative testing revealed no communication between the intrahepatic bile ducts. Distal gastrectomy and bile duct jejunostomy were performed. The post-operative course was uneventful, and the patient did not exhibit recurrence for 39 mo. Conclusions Although it is uncertain whether sustained bile exposure from an ectopic bile duct is related to gastric cancer, short-term follow-up might be necessary because of the possibility of gastric cancer.

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