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Yeungnam Univ J Med > Volume 32(1); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(1):60-64.
DOI: https://doi.org/10.12701/yujm.2015.32.1.60    Published online June 30, 2015.
Choledochocele containing a stone mistaken as a distal common bile duct stone.
Tae Young Kwak, Chang Hwan Park, Seok Hyeon Eom, Hong Suk Hwang, Duk Won Chung, Ji Young Seo, Yeong Sung Kim, Dong Hyup Kwak
Department of Internal Medicine, Kwak's Hospital, Daegu, Korea. clfwill@hanmail.net
Abstract
A choledochocele is an expanded sac of the duodenal side of the distal common bile duct (CBD), and is categorized as a type III choledochal cyst. Unlike other choledochal cysts, it can be easily overlooked because of its very low prevalence, non-specific clinical symptoms, and lack of distinctive radiological findings. However, a patient having a repeated pancreaticobiliary disorder with an unknown origin, frequent abdominal pain after cholecystectomy, or repeated non-specific gastrointestinal symptoms can be suspected as having a choledochocele, and a more accurate diagnosis can be achieved via endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound. Because it rarely becomes malignant, a choledochocele can be treated via endoscopic sphincterotomy (EST) and surgical treatment. The authors were able to diagnose choledochocele accompanied by a stone in a patient admitted to the authors' hospital due to cholangitis and pancreatitis. The patient's condition was suspected to have been caused by a distal CBD stone detected via multiple detector computed tomography and ERCP, and was successfully treated via EST.
Key Words: Choledochocele, Gall stone, Endoscopic retrograde cholangiopancreatography
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