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Choledochocele presenting with anaemia
H P Krepel1, P D Siersema, H W Tilanus
1Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
European Journal of Gastroenterology & Hepatology
|June 1, 1997
Summary
A choledochocele, a bile duct cyst, caused a man's abdominal pain and anemia due to bleeding. Surgical removal of the choledochocele is recommended for effective treatment.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Choledochoceles are rare congenital cystic dilatations of the terminal common bile duct.
- They can present with various symptoms including abdominal pain, jaundice, and gastrointestinal bleeding.
Observation:
- A 31-year-old male presented with abdominal pain and iron deficiency anemia attributed to gastrointestinal blood loss.
- Endoscopic retrograde cholangiopancreatography (ERCP) identified a choledochocele situated between the ampullary and common bile duct/pancreatic duct sphincters.
Findings:
- Surgical resection of the choledochocele was performed.
- The choledochocele was lined with duodenal mucosa and exhibited extensive erosions, explaining the gastrointestinal bleeding.
Implications:
- Choledochoceles, particularly those with duodenal mucosal lining and erosions, are a significant cause of obscure gastrointestinal bleeding.
- Radical resection is the definitive treatment for choledochoceles to prevent recurrence and manage complications like bleeding.