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Gastrointestinal Radiology

, Volume 12, Issue 1, pp 322–324 | Cite as

Diagnosis and treatment of choledochocele complicated by choledocholithiasis (case report)

  • Christoph D. Becker
  • Alexander G. Nagy
  • Robert G. Gibney
  • H. Joachim Burhenne
Article

Abstract

We report a case of choledochocele associated with choledocholithiasis. The patient became symptomatic when a gallstone was trapped within the choledochocele, causing intermittent biliary obstruction. Endoscopic retrograde cholangiography (ERC) provided the diagnosis and endoscopic sphincterotomy was performed for definite non-operative treatment. The lesion could not be identified on ultrasound even after its demonstration by ERC. The importance of direct cholangiography in the diagnosis of a choledochocele is discussed.

Key words

Choledochocele Direct cholangiography 

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References

  1. 1.
    Scholz FJ, Carrera GF, Larsen CR: The choledochocele: correlation of radiological, clinical and pathological findings.Radiology 118:25–28, 1976Google Scholar
  2. 2.
    Venu RP, Geenen JE, Hogan WJ, Dodds WJ, Wilson SW, Stewart ET, Soergel KH: Role of endoscopic retrograde cholangiopancreatography in the diagnosis and treatment of choledochocele.Gastroenterology 87:1144–1149, 1984Google Scholar
  3. 3.
    Zimmon DS, Falkenstein DB, Manno BV, Clemett AR: Choledochocele: radiologic diagnosis and endoscopic management.Gastrointest Radiol 3:349–351, 1978Google Scholar
  4. 4.
    Brodey PA, Fisch AE, Fertig S, Roberts GS: Case report. Computed tomography of choledochocele.J Comput Assist Tomogr 8:162–164, 1984Google Scholar
  5. 5.
    Pollack M, Shirkhoda A, Charnsangavej C: Case report. Computed tomography of choledochocele.J Comput Assist Tomogr 9:360–362, 1985Google Scholar
  6. 6.
    Hart MJ, White TT: Choledochocele associated with acute hemorrhagic pancreatitis.Western J Med 133:340–344, 1980Google Scholar
  7. 7.
    Jones B: Choledochocele demonstrated in percutaneous cholangiography: a patient with acute fulminant pancreatitis.Gastrointest Radiol 2:145–147, 1977Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1987

Authors and Affiliations

  • Christoph D. Becker
    • 1
  • Alexander G. Nagy
    • 2
  • Robert G. Gibney
    • 1
  • H. Joachim Burhenne
    • 1
  1. 1.Department of RadiologyUniversity of British Columbia and Vancouver General HospitalVancouverCanada
  2. 2.Department of SurgeryUniversity of British Columbia and Vancouver General HospitalVancouverCanada

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