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Journal of Case Reports
Comman Bile Duct Stone Misdiagnosed as Periampullary Carcinoma
Harsh Deora, Mayuresh M Deshpande, Shalu Gupta, D Kannan
From the Department of Surgery, Sawai Man Singh Medical College, Jaipur-302004, India.
Corresponding Author:
Dr. Harsh Deora
Email: demo5601@gmail.com
Received: 15-FEB-2013 Accepted: 9-MYA-2013 Published Online: 05-JUN-2013
DOI: http://dx.doi.org/10.17659/01.2013.0038
Abstract
Obstructive jaundice mostly occur secondary to stone or malignancies. Malignancyis important cause and may often be unresectable at diagnosis. However, establishing a correct diagnosis before proceeding to treatment is of paramount importance. We present here a case of 40 year old female with a history of palliative triple bypass for periampullary carcinoma diagnosed after an episode of obstructive jaundice. After 3 years of being asymptomatic, she now presented to us with complaints of pain abdomen for past 6 months along with fever. Ultrasound, CT & MRI revealed calculi in dilated common bile duct (CBD) with no evidence of malignancy. The purpose of this report is to emphasize the fact that preoperative diagnosis must be made with certainty before embarking on any treatment and that a relatively common diagnosis of CBD stone when not done correctly can lead to unfortunate results.
Keywords : Abdominal Pain, Jaundice, Endoscopic Retrograde CholangioPancreatography, Common Bile Duct, Gallstones.
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