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Updated: Dec 25, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Obstructive jaundice caused by ulcerative duodenal stenosis: A case report
1Department of Gastroenterology, Pukou District Central Hospital, Pukou Branch of Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Peptic ulcers rarely cause bile duct strictures. This case highlights differentiating benign duodenal ulcers from malignancy in obstructive jaundice.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Distal common bile duct stricture is uncommon.
- Peptic ulcer disease can rarely lead to biliary obstruction.
Observation:
- A 61-year-old male presented with right upper quadrant pain, fever, and chills.
- He had duodenal and distal common bile duct stenosis due to an ulcer.
Findings:
- Esophagogastroduodenoscopy did not reveal an ulcer, complicating diagnosis.
- The condition mimicked malignant biliary obstruction.
Implications:
- This case emphasizes the importance of considering peptic ulcer disease in obstructive jaundice.
- Surgical intervention was successful in this patient.
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