Korean J Gastrointest Endosc.  2006 May;32(5):352-356.

A Case of Anomalous Drainage of the Common Bile Duct into the Duodenal Bulb with Pancreatic Duct Anomaly

Affiliations
  • 1Department of Internal Medicine, Kwandong University College of Medicine, Goyang, Korea. chg21@kwandong.ac.kr
  • 2Department of General Surgery, Kwandong University College of Medicine, Goyang, Korea.
  • 3Department of Radiology, Kwandong University College of Medicine, Goyang, Korea.

Abstract

The common bile duct normally enters the posteromedial aspect of the second part of the duodenum. However, anomalous drainage of the common bile duct into the stomach, pyloric channel, duodenal bulb and fourth portion of the duodenum has been reported in the literature. An anomalous pancreatic duct, with ectopic drainage of the common bile duct, is particularly rare. Herein, we report the case of a 69-year-old woman who showed pancreatic ductal variation and anomalous drainage of the common bile duct into the duodenal bulb. The patient required a cholecystectomy and choledochoenteric anastomosis to relieve the obstructive jaundice and abdominal pain.

Keyword

Anomalous drainage; Common bile duct; Pancreatic duct anomaly; Duodenal bulb
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