Ectopic ampulla with cholangitis: A case report
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초록
Congenital anomalies of the biliary tree are rare and present challenges for endoscopists performing interventions such as endoscopic retrograde cholangiopancreatography (ERCP). The reported incidence of ectopic biliary drainage ranges from 2% to 20%, and the condition is often associated with pancreatobiliary complications, including choledocholithiasis (56%), cholangitis (39%), and acute pancreatitis (18.2%). These developmental abnormalities originate during embryogenesis. Uncommon sites for the ampullary opening include the third or fourth part of the duodenum, the stomach, and the pancreatic duct. We report a rare case of ectopic ampulla opening into the pylorus, which presented with cholangitis and was successfully managed with a modified ERCP technique.
Abstract
Congenital anomalies of the biliary tree are rare and present challenges for endoscopists performing interventions such as endoscopic retrograde cholangiopancreatography (ERCP). The reported incidence of ectopic biliary drainage ranges from 2% to 20%, and the condition is often associated with pancreatobiliary complications, including choledocholithiasis (56%), cholangitis (39%), and acute pancreatitis (18.2%). These developmental abnormalities originate during embryogenesis. Uncommon sites for the ampullary opening include the third or fourth part of the duodenum, the stomach, and the pancreatic duct. We report a rare case of ectopic ampulla opening into the pylorus, which presented with cholangitis and was successfully managed with a modified ERCP technique.
참고문헌 (12)
- Quintana EV, "Ectopic drainage of the common bile duct", Ann Surg, 180, pp.119~123 (1974)
- Peng YC, "Ectopic papilla of Vater in duodenum bulb : a hospital-based study", Medicine(Baltimore), 98, pp.e14642~ (2019)
- Disibeyaz S, "Anomalous opening of the common bile duct into the duodenal bulb : endoscopic treatment", BMC Gastroenterol, 7, pp.26~ (2007)
- Lee SS, "Ectopic opening of the common bile duct in the duodenal bulb : clinical implications", Gastrointest Endosc, 57, pp.679~682 (2003)
- Lee HJ, "ERCP and CT findings of ectopic drainage of the common bile duct into the duodenal bulb", AJR Am J Roentgenol, 169, pp.517~520 (1997)
- Frederick JS, "Sleisenger and Fordtran's gastrointestinal and liver disease", pp.973~994 (2020), Elsevier
- Boyden EA, "Congenital variations of the extrahepatic biliary tract : a review", Minn Med, 27, pp.932~933 (1944)
- Saritas U, "The clinical presentations of ectopic biliary drainage into duodenal bulbus and stomach with a thorough review of the current literature", BMC Gastroenterol, 10, pp.2~ (2010)
- Kanematsu M, "Accessory bile duct draining into the stomach : case report and review", Gastrointest Radiol, 17, pp.27~30 (1992)
- Lee JM, "Ectopic opening of the common bile duct into the duodenal bulb accompanied with cholangitis and gallbladder cancer: a report of two cases", Clin Endosc, 48, pp.260~264 (2015)
- Bauer K, "Recurrent gastric ulcer and cholangitis caused by ectopic drainage of the bile duct into the stomach", GMS Interdiscip Plast Reconstr Surg DGPW, 6, pp.Doc12~ (2017)
- Nasseri-Moghaddam S, "Ectopic location of the ampulla of Vater within the pyloric channel", Middle East J Dig Dis, 3, pp.56~58 (2011)