Pseudocalculus of the common bile duct
Common-bile-duct growths are rarely identified unless they cause chronic biliary obstruction. This case report describes a 71-year-old woman who had jaundice and epigastric pain. A cholecysto-colonic fistula was demonstrated by endoscopic retrograde cholangiopancreatography. The patient also had mul...
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| Veröffentlicht in: | Canadian journal of surgery 1988-01, Vol.31 (1), p.37-38 |
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| container_title | Canadian journal of surgery |
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| creator | Lautatzis, M Shoenut, J P Scurrah, J Micflikier, A B |
| description | Common-bile-duct growths are rarely identified unless they cause chronic biliary obstruction. This case report describes a 71-year-old woman who had jaundice and epigastric pain. A cholecysto-colonic fistula was demonstrated by endoscopic retrograde cholangiopancreatography. The patient also had multiple filling defects in the common bile duct. The fistula was closed and stones were removed. A postoperative cholangiogram showed two calculi. One was removed with a basket through the T-tube tract, but the second, which did not appear completely free of the common-duct wall, could not be removed by the basket method. Subsequently at laparotomy this was found to be a benign pedunculated polyp, composed of collagenous and vascular tissue and with no surface epithelium. Surgeons should bear in mind the possibility of a common-bile-duct growth in cases of extrahepatic biliary obstruction. |
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This case report describes a 71-year-old woman who had jaundice and epigastric pain. A cholecysto-colonic fistula was demonstrated by endoscopic retrograde cholangiopancreatography. The patient also had multiple filling defects in the common bile duct. The fistula was closed and stones were removed. A postoperative cholangiogram showed two calculi. One was removed with a basket through the T-tube tract, but the second, which did not appear completely free of the common-duct wall, could not be removed by the basket method. Subsequently at laparotomy this was found to be a benign pedunculated polyp, composed of collagenous and vascular tissue and with no surface epithelium. 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This case report describes a 71-year-old woman who had jaundice and epigastric pain. A cholecysto-colonic fistula was demonstrated by endoscopic retrograde cholangiopancreatography. The patient also had multiple filling defects in the common bile duct. The fistula was closed and stones were removed. A postoperative cholangiogram showed two calculi. One was removed with a basket through the T-tube tract, but the second, which did not appear completely free of the common-duct wall, could not be removed by the basket method. Subsequently at laparotomy this was found to be a benign pedunculated polyp, composed of collagenous and vascular tissue and with no surface epithelium. Surgeons should bear in mind the possibility of a common-bile-duct growth in cases of extrahepatic biliary obstruction.</description><subject>Aged</subject><subject>Cholangiography</subject><subject>Common Bile Duct Neoplasms - diagnostic imaging</subject><subject>Common Bile Duct Neoplasms - pathology</subject><subject>Common Bile Duct Neoplasms - surgery</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>Humans</subject><subject>Polyps - diagnostic imaging</subject><subject>Polyps - pathology</subject><subject>Polyps - surgery</subject><issn>0008-428X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotjz1rwzAUADW0pGmSn1DwlM3wLCmSPJbQLwikQwvdjPT0RF3kyLWsof--hXq65Ti4K7YGAFNLbj5u2G3OXwANCNmu2EoIoVsNa7Z_zVR8QhuxxJKrFKr5kypMw5AulesjVb7gvGXXwcZMu4Ub9v748HZ8rk_np5fj_akeOai5lo0zHo3SSC1XXB_QOIHWNlyhR2mCUeDIWaWkIlIammAPTvLgW6ub4MSG7f-745S-C-W5G_qMFKO9UCq50waMMFr-iXeLWNxAvhunfrDTT7eMiV8KsEg8</recordid><startdate>198801</startdate><enddate>198801</enddate><creator>Lautatzis, M</creator><creator>Shoenut, J P</creator><creator>Scurrah, J</creator><creator>Micflikier, A B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198801</creationdate><title>Pseudocalculus of the common bile duct</title><author>Lautatzis, M ; Shoenut, J P ; Scurrah, J ; Micflikier, A B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p206t-41b8dc867ce926275c8b3caa126cdc48f860beba6646ee6701fa5b42fd9a71fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Aged</topic><topic>Cholangiography</topic><topic>Common Bile Duct Neoplasms - diagnostic imaging</topic><topic>Common Bile Duct Neoplasms - pathology</topic><topic>Common Bile Duct Neoplasms - surgery</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gallstones - diagnostic imaging</topic><topic>Gallstones - surgery</topic><topic>Humans</topic><topic>Polyps - diagnostic imaging</topic><topic>Polyps - pathology</topic><topic>Polyps - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lautatzis, M</creatorcontrib><creatorcontrib>Shoenut, J P</creatorcontrib><creatorcontrib>Scurrah, J</creatorcontrib><creatorcontrib>Micflikier, A B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lautatzis, M</au><au>Shoenut, J P</au><au>Scurrah, J</au><au>Micflikier, A B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pseudocalculus of the common bile duct</atitle><jtitle>Canadian journal of surgery</jtitle><addtitle>Can J Surg</addtitle><date>1988-01</date><risdate>1988</risdate><volume>31</volume><issue>1</issue><spage>37</spage><epage>38</epage><pages>37-38</pages><issn>0008-428X</issn><abstract>Common-bile-duct growths are rarely identified unless they cause chronic biliary obstruction. This case report describes a 71-year-old woman who had jaundice and epigastric pain. A cholecysto-colonic fistula was demonstrated by endoscopic retrograde cholangiopancreatography. The patient also had multiple filling defects in the common bile duct. The fistula was closed and stones were removed. A postoperative cholangiogram showed two calculi. One was removed with a basket through the T-tube tract, but the second, which did not appear completely free of the common-duct wall, could not be removed by the basket method. Subsequently at laparotomy this was found to be a benign pedunculated polyp, composed of collagenous and vascular tissue and with no surface epithelium. Surgeons should bear in mind the possibility of a common-bile-duct growth in cases of extrahepatic biliary obstruction.</abstract><cop>Canada</cop><pmid>3337970</pmid><tpages>2</tpages></addata></record> |
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| ispartof | Canadian journal of surgery, 1988-01, Vol.31 (1), p.37-38 |
| issn | 0008-428X |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Cholangiography Common Bile Duct Neoplasms - diagnostic imaging Common Bile Duct Neoplasms - pathology Common Bile Duct Neoplasms - surgery Diagnosis, Differential Female Gallstones - diagnostic imaging Gallstones - surgery Humans Polyps - diagnostic imaging Polyps - pathology Polyps - surgery |
| title | Pseudocalculus of the common bile duct |
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