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Updated: Jun 5, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Synchronous double cancer of the common bile duct
Riadh Bedoui1, Mahmoud Ajmi, Ramzi Nouira
1Departmet B of General Surgery, Charles Nicolle Hospital, 1006 Tunis, Tunisia. dr_riadh_bedoui@yahoo.fr
Abstract:
Synchronous double cancer of the common bile duct is exceptional and only one reported case was found in the literature. We report a case in which the diagnosis of the double tumor was missed by computed tomography scan, magnetic resonance imaging, and endoscopic ultrasonography. The diagnosis of the distal tumor was made only during surgery. There was no communication in either the mucosal layer or the subepithelial layer between the 2 cancers without periductal lymphatic spread, thus suggesting that they are primary.
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