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Case Reports
. 2009 Sep 21;15(35):4467-70.
doi: 10.3748/wjg.15.4467.

Ectopic pancreaticobiliary drainage accompanied by proximal jejunal adenoma: a case report

Dong-Sheng Wu  1 , Wei-Xia Chen, Xiao-Peng Wang
Affiliations
Case Reports

Ectopic pancreaticobiliary drainage accompanied by proximal jejunal adenoma: a case report

Dong-Sheng Wu et al. World J Gastroenterol. .

Abstract

A patient with obstructive jaundice was examined by multidetector row helical computed tomography (MDCT) and magnetic resonance imaging (MRI), and his common bile duct was observed to be leading into the distal portion of the horizontal duodenum with a pancreaticobiliary union outside the duodenal wall. A mass was also found in the proximal jejunum. All the above findings were confirmed by subsequent surgery, thus contrast-enhanced MDCT and MRI with appropriate image post-processing could provide non-invasive and accurate information regarding anatomy and lesions of the pancreaticobiliary duct and duodenal union, which may improve the feasibility of surgery and reduce postoperative complications.

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Figures

Figure 1
Figure 1
Anomalous junction of the common bile duct and main pancreatic duct. A: CT scan shows the junction of the common bile duct and main pancreatic duct below the level of the uncinate process (arrow); B and C: Axial MR images show the junction of the common bile duct and main pancreatic duct (arrows). (These photographs were processed by Adobe Photoshop Creative Suite 2.).
Figure 2
Figure 2
Anomalous termination of the common bile duct. A: Axial image from CT scan shows the termination of the common bile duct at the distal portion of the horizontal part of the duodenum (arrow); B and C: MR images demonstrate a tapered configuration of the common bile duct (black arrows) and a mass located on the proximal jejunum (white arrows). (These photographs were processed by Adobe Photoshop Creative Suite 2.).
Figure 3
Figure 3
Dilated pancreatic and biliary ducts with ectopic drainage. A: Coronal MDCT image of CT reveals a low termination of the common bile duct (arrow); B and C: Coronal MR images show ectopic pancreaticobiliary junction, low termination of the common bile duct (black arrows), and the mass (white arrows) located on the proximal jejunum; D: MRCP shows dilated pancreatic and biliary ducts. (These photographs were processed by Adobe Photoshop Creative Suite 2.).
See this image and copyright information in PMC

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References

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