Surprising etiology of terminal common bile duct stricture

Česká verzia

Authors: Vašíček J.; Horný I.
Authors place of work: Interní oddělení, gastroenterologie, Nemocnice Strakonice, a. s.
Published in the journal: Gastroent Hepatol 2019; 73(1): 52-55
Category: Klinická a experimentální gastroenterologie: kazuistika
doi: https://doi.org/10.14735/amgh201952

Summary

The authors present a case report of a patient with unclear terminal common bile duct stenosis, presenting as jaundice and repeatable acute cholangitis. They describe procedures used to identify the etiology of stenosis. They exclude malignant etiology and pursue a differential diagnosis of stenosis with benign etiology. Nevertheless, it was necessary to perform autopsy (due to rapid progression of the patient’s health), which revealed adenocarcinoma of the gallbladder, with dissemination to the duodenum, pancreas, lymph nodes, lungs, and bile duct, resulting in stenosis of ductus choledochus. The authors discuss gallbladder cancer, incidence, risk factors, diagnostics, and therapy.

Key words:

common bile duct – stricture – gallbladder – malignancy

Submitted: 1. 10. 2018

Accepted: 1. 1. 2019

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

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