Double common bile duct: a case report

Double common bile duct (DCBD) is a rare congenital anomaly in which two common bile ducts exist. One usually has normal drainage into the papilla duodeni major and the other usually named accessory common bile duct (ACBD) opens in different parts of upper gastrointestinal tract (stomach, duodenum,...

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Bibliographic Details
Published in:	World journal of gastroenterology : WJG Vol. 13; no. 27; pp. 3770 - 3772
Main Authors:	Djuranovic, Srdjan P, Ugljesic, Milenko B, Mijalkovic, Nenad S, Korneti, Viktorija A, Kovacevic, Nada V, Alempijevic, Tamara M, Radulovic, Slaven V, Tomic, Dragan V, Spuran, Milan M
Format:	Journal Article
Language:	English
Published:	United States Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia%1st Surgical Clinic, Clinical Center of Serbia, Belgrade, Serbia 21-07-2007 Baishideng Publishing Group Co., Limited
Subjects:	Aged Case Report Cholangiopancreatography, Endoscopic Retrograde Choledocholithiasis - etiology Choledocholithiasis - pathology Choledocholithiasis - surgery Common Bile Duct - abnormalities Common Bile Duct - pathology Common Bile Duct - surgery Common Bile Duct Diseases - complications Common Bile Duct Diseases - congenital Common Bile Duct Diseases - pathology Common Bile Duct Diseases - surgery Female Humans Pancreatic Diseases - complications Pancreatic Diseases - congenital Pancreatic Diseases - pathology Pancreatic Diseases - surgery Pancreatic Ducts - abnormalities Pancreatic Ducts - pathology Pancreatic Ducts - surgery Sphincterotomy, Endoscopic Treatment Outcome Ultrasonography - methods Double common bile duct Anomalous pancreaticobiliary junction Accessory common bile duct
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Summary:	Double common bile duct (DCBD) is a rare congenital anomaly in which two common bile ducts exist. One usually has normal drainage into the papilla duodeni major and the other usually named accessory common bile duct (ACBD) opens in different parts of upper gastrointestinal tract (stomach, duodenum, ductus pancreaticus or septum). This anomaly is of great importance since it is often associated with biliary lithiasis, choledochal cyst, anomalous pancreaticobiliary junction (APBJ) and upper gastrointestinal tract malignancies. We recently recognized a rare case of DCBD associated with APBJ with lithiasis in better developed common bile duct. The opening site of ACBD was in the pancreatic duct. The anomaly was suspected by transabdominal ultrasonography and finally confirmed by endoscopic retrograde cholangiopancreatography (ERCP) followed by endoscopic sphincterotomy and stone extraction. According to the literature, the existence of DCBD with the opening of ACBD in the pancreatic duct is most frequently associated with APBJ and gallbladder carcinoma. In case of DCBD, the opening site of ACBD is of greatest clinical importance because of its close implications with concomitant pathology. The adequate diagnosis of this rare anomaly is significant since the operative complications may occur in cases with DCBD which is not recognized prior to surgical treatment.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Telephone: +381-11-3615587 Fax: +381-11-3615587 Correspondence to: Srdjan P Djuranovic, MD, PhD, Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, K.Todorovića St. No 2, 11000 Belgrade, Serbia. gastroendo@beotel.yu Author contributions: All authors contributed equally to the work.
ISSN:	1007-9327 2219-2840
DOI:	10.3748/wjg.v13.i27.3770