Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction.
- Author:
Vimal BHANDARI
1
;
Mohit SINGH
;
Hari Gopal VYAS
;
Nitin SHARMA
;
Rajkumar CHEJARA
Author Information
1. Department of Surgery, Vardhaman Mahavir Medical College and Safdarjang Hospital, New Delhi, India. mohitsingh24@gmail.com
- Publication Type:Case Report
- Keywords:
Foreign body;
Bile duct obstruction
- MeSH:
Abdominal Pain;
Biliary Tract;
Calculi;
Cholangiocarcinoma;
Cholecystectomy;
Cholestasis;
Common Bile Duct;
Foreign Bodies;
Humans;
Pruritus
- From:Gut and Liver
2011;5(2):245-247
- CountryRepublic of Korea
- Language:English
-
Abstract:
Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze within the common bile duct. The patient had previously undergone an open cholecystectomy. Radiological investigations were inconclusive and suggestive of either a calculus or a cholangiocarcinoma. Surgical exploration revealed full length surgical gauze within the common bile duct. Because imaging modalities are often non-determinant, the possibility of biliary tract obstruction from a foreign body should be borne in mind for patients with unusual presentations, especially those who have previously undergone surgery.
