Gastroenterologie
a hepatologie

Surprising etiology of terminal common bile duct stricture

Jan Vašíček¹, Ivo Horný¹

+ Affiliation
¹ Interní oddělení, gastroenterologie, Nemocnice Strakonice, a. s.

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.

Keywords

common bile duct, malignancy, stricture, gallbladder

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