A case of ectopic opening of the common bile duct (CBD) associated with hematemesis.
- Author:
Ji Hyun JEONG
1
;
Tae Hee LEE
;
Seong Wook YANG
;
Seong Min KIM
;
Sun Moon KIM
;
Euyi Hyeog IM
;
Kyu Chan HUH
Author Information
1. Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, Korea. green740@naver.com
- Publication Type:Case Report
- Keywords:
Ectopic common bile duct;
Ulcer;
Hematemesis
- MeSH:
Bile;
Bile Ducts;
Biliary Tract;
Cholangitis;
Choledocholithiasis;
Common Bile Duct;
Congenital Abnormalities;
Drainage;
Duodenal Ulcer;
Duodenum;
Endoscopy, Digestive System;
Hematemesis;
Humans;
Incidental Findings;
Male;
Ulcer
- From:Korean Journal of Medicine
2008;75(6):685-688
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
