Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case
Advances in Surgical Sciences
Volume 6, Issue 1, June 2018, Pages: 41-44
Received: Aug. 1, 2018; Accepted: Aug. 20, 2018; Published: Sep. 13, 2018
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Authors
Xuemei Li, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Baohong Gu, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Jike Hu, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Yanling Ma, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Bofang Wang, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Zedong Feng, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China
Hao Chen, The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China; The Tumor Surgery Department, Lanzhou University Second Hospital, Lanzhou, China; The Key Laboratory of the Digestive System Tumors of Gansu Province, Lanzhou University Second Hospital, Lanzhou, China
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Abstract
Aim: Bile duct polyps is a rare biliary disease, which may lead to bile duct stones and may play an important role in the occurrence and development of cholangiocarcinoma. Calculus of bile duct is a common disease in China and common causes including multiple polyps of the biliary tract and other factors. Therefore, we here to investigate the relationship of both diseases and to summarize some measures to prevent the occurrence of polyps. Method: We here describe a 49-year-old man presented with yellowing of skin and sclera and the pain in the upper abdominal area. We performed exploration of common bile duct + choledocholithotomy and T-tube drainage and polyps were not detected. Result: Yellow staining of skin and sclera reappeared after operation 2 months. The bile duct mucosa was rough and there was amount of black stones under choledochoscopy. Unexpectedly, at the confluence of the right and left hepatic ducts and at the left hepatic duct, there was a sessile polyp respectively. We electrocoagulated the polyps and removed the stones. The biliary tract was flushed with saline on the second day after operation and the total bilirubin was rapidly decreased. Conclusion: Therefore, we think that bile duct polyps and calculus of bile duct may be causality and influence each other, resulting in disturbance of bile duct dynamics and inducing biliary tract diseases.
Keywords
Polyps, Bile Duct, Choledocholithiasis Endoscopic Retrograde Cholangiopancreatography, Common Bile Duct Exploration
To cite this article
Xuemei Li, Baohong Gu, Jike Hu, Yanling Ma, Bofang Wang, Zedong Feng, Hao Chen, Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case, Advances in Surgical Sciences. Vol. 6, No. 1, 2018, pp. 41-44. doi: 10.11648/j.ass.20180601.18
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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