Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent
Congenital biliary web formations are extremely rare, with only a few cases reported till date in the literature. We report a case of a four years old female child, presented to us for evaluation of jaundice and recurrent attacks of cholangitis. Intra-operatively, we found a nodular mass near the di...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622001853 |
| _version_ | 1818505643769724928 |
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| author | Ayesha Saleem Hafsa Ghaffar Muhammad Anwar Saqib Hamid Qazi |
| author_facet | Ayesha Saleem Hafsa Ghaffar Muhammad Anwar Saqib Hamid Qazi |
| author_sort | Ayesha Saleem |
| collection | DOAJ |
| description | Congenital biliary web formations are extremely rare, with only a few cases reported till date in the literature. We report a case of a four years old female child, presented to us for evaluation of jaundice and recurrent attacks of cholangitis. Intra-operatively, we found a nodular mass near the distal end of common bile duct causing extrinsic compression on extra-hepatic biliary tree. Biopsy revealed reactive lymphoid hyperplasia. Four weeks after the first surgery a second procedure was planned. The child then underwent exploratory laparotomy with resection of common bile duct web and anastomosis over an ERCP (Endoscopic retrograde cholangiopancreatography) stent. The reported treatment for biliary web commonly consists of Roux-en-Y hepatico-jejunostomy, excision of the diaphragm with t-tube insertion or excision of the web with a cholecystectomy. However, we performed excision of the web and primary anastomosis of CBD (Common Bile Duct) over an ERCP stent preserving native common bile duct. |
| first_indexed | 2024-12-10T21:53:41Z |
| format | Article |
| id | doaj.art-3fcdad94ea714bacbc0ccc0a709c64f6 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-10T21:53:41Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-3fcdad94ea714bacbc0ccc0a709c64f62022-12-22T01:32:07ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102358Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stentAyesha Saleem0Hafsa Ghaffar1Muhammad Anwar2Saqib Hamid Qazi3Section of Pediatric Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan; Corresponding author.Baqai Medical University, PakistanSection of Pediatric Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, PakistanSection of Pediatric Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, PakistanCongenital biliary web formations are extremely rare, with only a few cases reported till date in the literature. We report a case of a four years old female child, presented to us for evaluation of jaundice and recurrent attacks of cholangitis. Intra-operatively, we found a nodular mass near the distal end of common bile duct causing extrinsic compression on extra-hepatic biliary tree. Biopsy revealed reactive lymphoid hyperplasia. Four weeks after the first surgery a second procedure was planned. The child then underwent exploratory laparotomy with resection of common bile duct web and anastomosis over an ERCP (Endoscopic retrograde cholangiopancreatography) stent. The reported treatment for biliary web commonly consists of Roux-en-Y hepatico-jejunostomy, excision of the diaphragm with t-tube insertion or excision of the web with a cholecystectomy. However, we performed excision of the web and primary anastomosis of CBD (Common Bile Duct) over an ERCP stent preserving native common bile duct.http://www.sciencedirect.com/science/article/pii/S2213576622001853Common bile ductCongenital biliary webObstructive jaundiceRecurrent cholangitis |
| spellingShingle | Ayesha Saleem Hafsa Ghaffar Muhammad Anwar Saqib Hamid Qazi Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent Journal of Pediatric Surgery Case Reports Common bile duct Congenital biliary web Obstructive jaundice Recurrent cholangitis |
| title | Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent |
| title_full | Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent |
| title_fullStr | Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent |
| title_full_unstemmed | Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent |
| title_short | Common bile duct web: Managed with excision and primary anastomosis of bile duct over ERCP stent |
| title_sort | common bile duct web managed with excision and primary anastomosis of bile duct over ercp stent |
| topic | Common bile duct Congenital biliary web Obstructive jaundice Recurrent cholangitis |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622001853 |
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