Diagnostic dilemma in an unusual case of common bile duct obstruction.

Abstract:

:Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze within the common bile duct. The patient had previously undergone an open cholecystectomy. Radiological investigations were inconclusive and suggestive of either a calculus or a cholangiocarcinoma. Surgical exploration revealed full length surgical gauze within the common bile duct. Because imaging modalities are often non-determinant, the possibility of biliary tract obstruction from a foreign body should be borne in mind for patients with unusual presentations, especially those who have previously undergone surgery.

journal_name

Gut Liver

journal_title

Gut and liver

authors

Bhandari V,Singh M,Vyas HG,Sharma N,Chejara R

doi

10.5009/gnl.2011.5.2.245

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

245-7

issue

2

eissn

1976-2283

issn

2005-1212

journal_volume

5

pub_type

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