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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
PubMed
Summary
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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:

Related Experiment Videos

  • 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.