Endoscopic Ultrasound-Guided Detection of a Rare Anomaly-Duplication of Extrahepatic Bile Duct.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-08-11 eCollection Date: 2025-08-01 DOI:10.14309/crj.0000000000001794

Saad Khalid Niaz, Noval Zakaria, Muhammad Umair Tahseen, Muhammad Asim, Sajida Qureshi, Shanil Kadir

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引用次数: 0

Abstract

This is the first reported case demonstrating endoscopic ultrasound (EUS) findings in type Va duplication. The malformation of the congenital extrahepatic bile duct is classified as type Va and is rarely observed. To date, not more than 30 cases have been reported in Western literature. For the medical literature, a 50-year-old man with a type Va extrahepatic bile duct obstruction is examined. He presented with abdominal pain and jaundice, and imaging showed biliary dilatation and cholelithiasis. During the EUS procedure, an endoscopic examination revealed the presence of a duplicated common bile duct with a septum. Endoscopic retrograde cholangiopancreatography of the biliary tract also showed the same anomaly, with the presence of obstructive biliary sludge. The case highlights the need to consider EUS as a potent alternative diagnostic method. It is important to detect these anomalies immediately to reduce the chances of endoscopic/surgical complications.

Abstract Image

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超声内镜下检测罕见的肝外胆管异常-重复。

这是首次报道的病例证明内镜超声（EUS）发现在Va型重复。先天性肝外胆管畸形分类为Va型，少见。迄今为止，在西方文献中报道的病例不超过30例。对于医学文献，一个50岁的男性与Va型肝外胆管阻塞检查。他表现为腹痛和黄疸，影像学显示胆道扩张和胆石症。在EUS检查过程中，内镜检查显示存在重复的胆总管和间隔。内镜逆行胆道胰胆管造影也显示同样的异常，存在梗阻性胆道污泥。该病例强调需要考虑EUS作为一种有效的替代诊断方法。重要的是立即发现这些异常，以减少内窥镜/手术并发症的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.