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Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case

Received: 1 August 2018     Accepted: 20 August 2018     Published: 13 September 2018
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Abstract

Aim: Bile duct polyps is a rare biliary disease, which may lead to bile duct stones and may play an important role in the occurrence and development of cholangiocarcinoma. Calculus of bile duct is a common disease in China and common causes including multiple polyps of the biliary tract and other factors. Therefore, we here to investigate the relationship of both diseases and to summarize some measures to prevent the occurrence of polyps. Method: We here describe a 49-year-old man presented with yellowing of skin and sclera and the pain in the upper abdominal area. We performed exploration of common bile duct + choledocholithotomy and T-tube drainage and polyps were not detected. Result: Yellow staining of skin and sclera reappeared after operation 2 months. The bile duct mucosa was rough and there was amount of black stones under choledochoscopy. Unexpectedly, at the confluence of the right and left hepatic ducts and at the left hepatic duct, there was a sessile polyp respectively. We electrocoagulated the polyps and removed the stones. The biliary tract was flushed with saline on the second day after operation and the total bilirubin was rapidly decreased. Conclusion: Therefore, we think that bile duct polyps and calculus of bile duct may be causality and influence each other, resulting in disturbance of bile duct dynamics and inducing biliary tract diseases.

Published in Advances in Surgical Sciences (Volume 6, Issue 1)
DOI 10.11648/j.ass.20180601.18
Page(s) 41-44
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Polyps, Bile Duct, Choledocholithiasis Endoscopic Retrograde Cholangiopancreatography, Common Bile Duct Exploration

References
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[2] Solakoglu T, Akin E, Yavuz SH, et al. Endoscopic treatment of a solitary hamartomatous polyp in the intrahepatic biliary duct [J]. Endoscopy, 2013, 45 Suppl 2:E356-357.
[3] Uchida Y, Ome Y, Shimata K, et al. Inflammatory polyp in the common bile duct with pancreaticobiliary maljunction. Case Rep Gastroenterol 2015; 9:88-92.
[4] Voiosu T, Ionita M, Voiosu A, Bengus A, Popp C, Mateescu B. Cholangioscopy using the SpyGlass system for a rare cause of obstruction: inflammatory polyp of the common bile duct [J]. J Gastrointestin Liver Dis. 2017 Jun; 26(2):111.
[5] Solakoglu T, Akin E, Yavuz SH, Ersoy O. Endoscopic treatment of a solitary hamartomatous polyp in the intrahepatic biliary duct. Endoscopy. 2013;45 Suppl 2 UCTN:E356–E357.
[6] Suzuki K, Higuchi H, Shimizu S, et al. Endoscopic snare papillectomy for a solitary Peutz-Jeghers-type polyp in the duodenum with ingrowth into the common bile duct: Case report[J]. World J Gastroenterol, 2015, 21(26):8215-8220.
[7] Watanabe H, Iwase H, Sugitani M. Inflammatory polyps in common bile duct caused by T-tube. Hepatogastroenterology. 2002; 49:894–896.
[8] Ishimura K, Kondo A, Yachida S, Yonemoto H, Okano K, Kokudo Y, Wakabayashi H, Maeba T. A case of an inflammatory polyp in common bile duct treated by endoscopic polypectomy. Gastroenterol Endosc. 1996; 38:917–923.
[9] Shepherd HA, Laidlow JM, Ross AP, Vincenti A, Lane RH. Extrahepatic biliary obstruction by a common bile duct inflammatory polyp in association with a gallstone, and treatment by endoscopic sphincterotomy. Endoscopy. 1986; 18:66–68.
[10] Uchida Y, Ome Y, Shimata K, et al. Inflammatory Polyp in the Common Bile Duct with Pancreaticobiliary Maljunction[J]. Case Reports in Gastroenterology, 2015, 9(1):88.
[11] Shepherd HA, Laidlow JM, Ross AP, Vincenti A, Lane RH. Extrahepatic biliary obstruction by a common bile duct inflammatory polyp in association with a gallstone, and treatment by endoscopic sphincterotomy. Endoscopy. 1986; 18:66–68.
[12] Burhans R, Myers RT. Benign neoplasms of the extrahepatic biliary ducts. Am Surg. 1971; 37:161–166.
[13] Ikoma A, Ueno T, Tanaka K, Saisho A, Yoshida A, Taira A. Cholesterol polyp of the common bile duct. Am J Gastroenterol, 1995; 90: 1534-1535.
[14] Amigo L., Zanlugo S., Mendoza H.: Risk factors and pathogenesis of cholesterol gallstones: State of the ART. Eur Rev Med Pharmacol Sci. 1999; 3: 241–246.
[15] Maurer K. J., Carey M. C., Fox J. G.: Roles of infection, inflammation and the immune system in cholesterol gallstone formation. Gastroenterology. 2009; 136: 425–440.
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  • APA Style

    Xuemei Li, Baohong Gu, Jike Hu, Yanling Ma, Bofang Wang, et al. (2018). Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case. Advances in Surgical Sciences, 6(1), 41-44. https://doi.org/10.11648/j.ass.20180601.18

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    ACS Style

    Xuemei Li; Baohong Gu; Jike Hu; Yanling Ma; Bofang Wang, et al. Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case. Adv. Surg. Sci. 2018, 6(1), 41-44. doi: 10.11648/j.ass.20180601.18

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    AMA Style

    Xuemei Li, Baohong Gu, Jike Hu, Yanling Ma, Bofang Wang, et al. Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case. Adv Surg Sci. 2018;6(1):41-44. doi: 10.11648/j.ass.20180601.18

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  • @article{10.11648/j.ass.20180601.18,
      author = {Xuemei Li and Baohong Gu and Jike Hu and Yanling Ma and Bofang Wang and Zedong Feng and Hao Chen},
      title = {Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case},
      journal = {Advances in Surgical Sciences},
      volume = {6},
      number = {1},
      pages = {41-44},
      doi = {10.11648/j.ass.20180601.18},
      url = {https://doi.org/10.11648/j.ass.20180601.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180601.18},
      abstract = {Aim: Bile duct polyps is a rare biliary disease, which may lead to bile duct stones and may play an important role in the occurrence and development of cholangiocarcinoma. Calculus of bile duct is a common disease in China and common causes including multiple polyps of the biliary tract and other factors. Therefore, we here to investigate the relationship of both diseases and to summarize some measures to prevent the occurrence of polyps. Method: We here describe a 49-year-old man presented with yellowing of skin and sclera and the pain in the upper abdominal area. We performed exploration of common bile duct + choledocholithotomy and T-tube drainage and polyps were not detected. Result: Yellow staining of skin and sclera reappeared after operation 2 months. The bile duct mucosa was rough and there was amount of black stones under choledochoscopy. Unexpectedly, at the confluence of the right and left hepatic ducts and at the left hepatic duct, there was a sessile polyp respectively. We electrocoagulated the polyps and removed the stones. The biliary tract was flushed with saline on the second day after operation and the total bilirubin was rapidly decreased. Conclusion: Therefore, we think that bile duct polyps and calculus of bile duct may be causality and influence each other, resulting in disturbance of bile duct dynamics and inducing biliary tract diseases.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Extrahepatic Bile Duct Polyps Combiled with Choledocholithiasis: A Report of one Case
    AU  - Xuemei Li
    AU  - Baohong Gu
    AU  - Jike Hu
    AU  - Yanling Ma
    AU  - Bofang Wang
    AU  - Zedong Feng
    AU  - Hao Chen
    Y1  - 2018/09/13
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ass.20180601.18
    DO  - 10.11648/j.ass.20180601.18
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 41
    EP  - 44
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20180601.18
    AB  - Aim: Bile duct polyps is a rare biliary disease, which may lead to bile duct stones and may play an important role in the occurrence and development of cholangiocarcinoma. Calculus of bile duct is a common disease in China and common causes including multiple polyps of the biliary tract and other factors. Therefore, we here to investigate the relationship of both diseases and to summarize some measures to prevent the occurrence of polyps. Method: We here describe a 49-year-old man presented with yellowing of skin and sclera and the pain in the upper abdominal area. We performed exploration of common bile duct + choledocholithotomy and T-tube drainage and polyps were not detected. Result: Yellow staining of skin and sclera reappeared after operation 2 months. The bile duct mucosa was rough and there was amount of black stones under choledochoscopy. Unexpectedly, at the confluence of the right and left hepatic ducts and at the left hepatic duct, there was a sessile polyp respectively. We electrocoagulated the polyps and removed the stones. The biliary tract was flushed with saline on the second day after operation and the total bilirubin was rapidly decreased. Conclusion: Therefore, we think that bile duct polyps and calculus of bile duct may be causality and influence each other, resulting in disturbance of bile duct dynamics and inducing biliary tract diseases.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

  • The Second Clinical Medical College, Lanzhou University Second Hospital, Lanzhou, China

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