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Extremely rare case of extrahepatic duct phytobezoar treated with intraoperative transenteral endoscopy.

Bae JM, Lee YK - Ann Surg Treat Res (2014)

Bottom Line: Here, we present an extremely rare case of extrahepatic duct phytobezoar that resulted in abdominal pain.We successfully treated the case with extraoperative transenteral endoscopic removal of phytobezoar.For its great rarity and particular treatment approach, we report this case with review of literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery,Yeungnam University College of Medicine, Daegu, Korea.

ABSTRACT
Phytobezoar is a rare cause of gastro-intestinal tract obstruction. Common sites of phytobezoar are the stomach and small bowel. Naturally, extrahepatic duct phytobezoar is near impossible due to anatomical structure and location such as ampulla of vater, common bile duct and bifurcation of bile duct. Here, we present an extremely rare case of extrahepatic duct phytobezoar that resulted in abdominal pain. We successfully treated the case with extraoperative transenteral endoscopic removal of phytobezoar. For its great rarity and particular treatment approach, we report this case with review of literature.

No MeSH data available.


Related in: MedlinePlus

The CT scan revealed dilatation and large stone of intrahepatic duct with air-biliary gram, parenchymal atrophy of left hepatic lobe and unremarkable right hepatic lobe. (A) Transverse section view. (B) Coronal section view.
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Figure 1: The CT scan revealed dilatation and large stone of intrahepatic duct with air-biliary gram, parenchymal atrophy of left hepatic lobe and unremarkable right hepatic lobe. (A) Transverse section view. (B) Coronal section view.

Mentions: All vital signs, including body temperature, pulse, and blood pressure, were within normal limits. Laboratory findings in Emergency Department were unremarkable. Chest and abdomen radiographs were also unremarkable. The patient underwent and abdomino-pelvic CT scan to evaluate the cause of abdominal pain. The CT scan revealed dilatation and a large stone of the extrahepatic duct with air-biliary gram, parenchymal atrophy of the left hepatic lobe and no remarkable findings in the right hepatic lobe (Fig. 1). An endoscopic retrograde cholagio-pancreatography (ERCP) was then performed to evaluate the biliary tract. There was nothing found in the common bile duct on ERCP (Fig. 2).


Extremely rare case of extrahepatic duct phytobezoar treated with intraoperative transenteral endoscopy.

Bae JM, Lee YK - Ann Surg Treat Res (2014)

The CT scan revealed dilatation and large stone of intrahepatic duct with air-biliary gram, parenchymal atrophy of left hepatic lobe and unremarkable right hepatic lobe. (A) Transverse section view. (B) Coronal section view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127900&req=5

Figure 1: The CT scan revealed dilatation and large stone of intrahepatic duct with air-biliary gram, parenchymal atrophy of left hepatic lobe and unremarkable right hepatic lobe. (A) Transverse section view. (B) Coronal section view.
Mentions: All vital signs, including body temperature, pulse, and blood pressure, were within normal limits. Laboratory findings in Emergency Department were unremarkable. Chest and abdomen radiographs were also unremarkable. The patient underwent and abdomino-pelvic CT scan to evaluate the cause of abdominal pain. The CT scan revealed dilatation and a large stone of the extrahepatic duct with air-biliary gram, parenchymal atrophy of the left hepatic lobe and no remarkable findings in the right hepatic lobe (Fig. 1). An endoscopic retrograde cholagio-pancreatography (ERCP) was then performed to evaluate the biliary tract. There was nothing found in the common bile duct on ERCP (Fig. 2).

Bottom Line: Here, we present an extremely rare case of extrahepatic duct phytobezoar that resulted in abdominal pain.We successfully treated the case with extraoperative transenteral endoscopic removal of phytobezoar.For its great rarity and particular treatment approach, we report this case with review of literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery,Yeungnam University College of Medicine, Daegu, Korea.

ABSTRACT
Phytobezoar is a rare cause of gastro-intestinal tract obstruction. Common sites of phytobezoar are the stomach and small bowel. Naturally, extrahepatic duct phytobezoar is near impossible due to anatomical structure and location such as ampulla of vater, common bile duct and bifurcation of bile duct. Here, we present an extremely rare case of extrahepatic duct phytobezoar that resulted in abdominal pain. We successfully treated the case with extraoperative transenteral endoscopic removal of phytobezoar. For its great rarity and particular treatment approach, we report this case with review of literature.

No MeSH data available.


Related in: MedlinePlus