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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Sep 21, 2009; 15(35): 4467-4470
Published online Sep 21, 2009. doi: 10.3748/wjg.15.4467
Published online Sep 21, 2009. doi: 10.3748/wjg.15.4467
Ectopic pancreaticobiliary drainage accompanied by proximal jejunal adenoma: A case report
Dong-Sheng Wu, Wei-Xia Chen, Xiao-Peng Wang, Department of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Wu DS and Wang XP collected data and carried out the research; Wu DS wrote the manuscript; Chen WX revised the article.
Correspondence to: Wei-Xia Chen, MD, Department of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China. wxchen25@126.com
Telephone: +86-28-81812597 Fax: +86-28-85422746
Received: July 10, 2009
Revised: August 15, 2009
Accepted: August 22, 2009
Published online: September 21, 2009
Revised: August 15, 2009
Accepted: August 22, 2009
Published online: September 21, 2009
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.
Keywords: Ectopic drainage, Pancreaticobiliary maljunction, Computed tomography, Magnetic resonance imaging