J Korean Surg Soc.  2008 Jan;74(1):83-86.

A Common Bile Duct Web Presenting with Obstructive Jaundice without Common Bile Duct Stone

• Kim BS
• Joo SH
• Joo KR

Abstract

There are many causes of extrahepatic biliary obstruction. The most common causes are gallstones and malignant or benign strictures. Web of the common bile duct is a rare disease, and it may produce obstructive jaundice. On cholangiography, a common bile duct web typically appears as a shelf--like radiolucent ring. It is frequently associated with bile duct stone, and it is occasionally related to bile duct trauma or primary sclerosing cholangitis. We report here on a case of a web of the common bile duct without choledocholithiasis in a 27-year-old man. The patient was treated by Roux-en-Y choledochojejunostomy above the level of the web.

Keyword

Common bile duct; Obstructive jaundice; Web

MeSH Terms

Adult
Bile Ducts
Cholangiography
Cholangitis, Sclerosing
Choledocholithiasis
Choledochostomy
Common Bile Duct
Constriction, Pathologic
Gallstones
Humans
Jaundice, Obstructive
Rare Diseases
Cholangitis, Sclerosing