J Korean Surg Soc.  2008 Jan;74(1):83-86.

A Common Bile Duct Web Presenting with Obstructive Jaundice without Common Bile Duct Stone

Affiliations
  • 1Department of Surgery , KyungHee University College of Medicine, Seoul, Korea. sunhyung@chol.com
  • 2Department of Internal Medicine, KyungHee University College of Medicine, Seoul, Korea.

Abstract

There are many causes of extrahepatic biliary obstruction. The most common causes are gallstones and malignant or benign strictures. Web of the common bile duct is a rare disease, and it may produce obstructive jaundice. On cholangiography, a common bile duct web typically appears as a shelf--like radiolucent ring. It is frequently associated with bile duct stone, and it is occasionally related to bile duct trauma or primary sclerosing cholangitis. We report here on a case of a web of the common bile duct without choledocholithiasis in a 27-year-old man. The patient was treated by Roux-en-Y choledochojejunostomy above the level of the web.

Keyword

Common bile duct; Obstructive jaundice; Web
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