Korean J Med.
2007 May;72(5):536-539.
A common hepatic duct web in association with choledocholithiasis
- Affiliations
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- 1Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. tnk@med.yu.ac.kr
- 2Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea.
Abstract
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Biliary web is a very rare disease and it can be diagnosed by its characteristic findings on endoscopic retrograde cholangiogram. The etiology of biliary web is variable. We were able to diagnose a common hepatic duct web in association with choledocholithiasis by performing endoscopic retrograde cholangiogram and operation. A 31-year-old woman visited our emergency room because of colicky right upper abdominal pain she had experienced for several hours. The endoscopic retrograde cholangiogram showed web-like stricture and stone at the common hepatic duct. She was treated by cholecystectomy with Roux-en-Y hepaticojejunostomy. We report here on this rare case along with a review of the literature.