Juxtapapillary duodenal diverticular bezoar as an exceptional cause of biliary stent obstruction. Case report

Geraci, Girolamo and Sciumé, Carmelo and Pisello, Franco and Facella, Tiziana and Arnone, Enrico Maria and Cupido, Francesco and Modica, Giuseppe (2007) Juxtapapillary duodenal diverticular bezoar as an exceptional cause of biliary stent obstruction. Case report. Il giornale di chirurgia, 28 (8-9). pp. 312-314. ISSN 1971-145X

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Abstract

Introduction: we describe the first case in literature of biliary stent obstruction by bezoar impaction in a iuxtapapillary duodenal diverticulum. Case report: this case illustrates an juxtapapillary duodenal diverticulum and bezoar in it causing obstructive jaundice in subject with two biliary stents for cholangiocarcinoma (Klatskin’s tumor) in the absence of bile duct stones. Result: successful treatment with endoscopic stent removal and diverticulum toilette. Obstructive jaundice was cured after endoscopic removal of the bezoar and stent substitution. Discussion: the presence of a bezoar and its possible contribution to the pathogenesis of pancreatitis in the presence of periampullaryextraluminal duodenal diverticula makes endoscopic intervention for removal of the bezoar necessary and effective. Conclusions: biliary bezoar is a very rare but treatable cause of stents obstruction in patients with juxtapapillary duodenal diverticula. Endoscopic retrograde cholangiopancreatografhy is helpful in making diagnosis and for resolutive treatment

Item Type:	Article
Uncontrolled Keywords:	Biliary bezoar, Biliary stent obstruction, Juxtapapillary duodenal diverticula; Bezoario biliare, Ostruzione protesi biliare, Diverticoli duodenali iuxtapapillari
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	04 Oct 2013 15:51
Last Modified:	04 Oct 2013 15:51
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6128

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