Abstract
Abstract
Background
Among the various anomalies of the biliary system, a double common bile duct with ectopic drainage in the stomach is rare. Furthermore, ectopic bile ducts are extremely rare in gastric cancers.
Case presentation
A 67-year-old man was admitted to our hospital with gastric cancer and ectopic left extrahepatic bile duct drainage in the stomach. Pre-operative testing revealed no communication between the intrahepatic bile ducts. Distal gastrectomy and bile duct jejunostomy were performed. The post-operative course was uneventful, and the patient did not exhibit recurrence for 39 mo.
Conclusions
Although it is uncertain whether sustained bile exposure from an ectopic bile duct is related to gastric cancer, short-term follow-up might be necessary because of the possibility of gastric cancer.
Publisher
Springer Science and Business Media LLC
Reference9 articles.
1. Lamah M, Dickson GH. Congenital anatomical abnormalities of the extrahepatic biliary duct: a personal audit. Surg Radiol Anat. 1999;21:325–7.
2. Kanematsu M, Imaeda T, Seki M, Goto H, Doi H, Shimokawa K. Accessory bile duct draining into the stomach: case report and review. Gastrointest Radiol. 1992;17:27–30.
3. Saito N, Nakano A, Arase M, Hiraoka T. A case of duplication of the common bile duct with anomaly of the intrahepatic bile duct. Nihon Geka Gakkai Zasshi. 1988;89:1296–301.
4. Kondo K, Yokoyama I, Yokoyama Y, Harada A, Nagayo T. Two cases of gastric cancer-bearing double choledochus with ectopic drainage into the stomach. Cancer. 1986;57:138–41.
5. Park JI, Oh SH. Double common bile duct with an ectopic drainage into the stomach. Ann Surg Treat Res. 2015;88:229–31.