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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(04): 283-286
DOI: 10.1055/s-0040-1713711
Case Series

Common Bile Duct Polyp—Rare But Not So Rare Cause Of Obstructive Jaundice

Mayank Kabrawala
1   Department of Gastroenterology, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Pankaj Desai
2   Department of Endoscopy and Endosonography, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Rajiv Mehta
1   Department of Gastroenterology, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Subhash Nandwani
1   Department of Gastroenterology, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Priya Arora
3   Department of Histopathology, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Chintan Patel
2   Department of Endoscopy and Endosonography, SIDS Hospital and Research Center, Surat, Gujarat, India
,
Keyur Bhatt
4   Department of Gastrointestinal and Minimal Access Surgery, SIDS Hospital and Research Centre, Surat, Gujarat, India
,
Dhaval Mangukiya
4   Department of Gastrointestinal and Minimal Access Surgery, SIDS Hospital and Research Centre, Surat, Gujarat, India
,
Krishna Parekh
5   Department of Clinical Research, SIDS Hospital and Research Center, Surat, Gujarat, India
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Abstract

Polyps are usually found in gastrointestinal tract as their primary site of occurrence. In contrast, polyps in common bile duct (CBD) are uncommon. Biliary polyps can manifest as obstructive jaundice, which is the usually a presentation of common bile duct stone or malignant tumor of bile duct and pancreas. In this case series, we present five patients who had clinical manifestations of obstructive jaundice. However, systematic diagnostic approach in these patients revealed presence of polyps in distal CBD. We have focused on diagnostic challenges encountered during the investigation of CBD polyps.

Keywords

common bile duct polyps - obstructive jaundice - ERCP - sphincterotomy


Publication History

Article published online:
22 June 2020

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Hacking CP, Taylor CJ, Nathanson LK. Common bile duct polyp mimicking choledocholithiasis: a case report with laparoscopic transcystic management. Surg Laparosc Endosc Percutan Tech 2008; 18 (03) 290-293
    CrossrefPubMedSearch in Google Scholar
  • 2 Yusif-Zade K, Musayev J, Yeler M. Tubulopapillary adenoma of the common bile duct presenting with jaundice. Ulus Cerrahi Derg 2015; 32 (03) 226-228
    PubMedSearch in Google Scholar
  • 3 Saxe J, Lucas C, Ledgerwood AM, Sugawa C. Villous adenoma of the common bile duct. Arch Surg 1988; 123 (01) 96
    CrossrefPubMedSearch in Google Scholar
  • 4 Čekas K, Rudaitis V, Beiša V. et al. Common bile duct villous adenoma: a case report and review of the literature. J Med Case Reports 2016; 10 (01) 18
    CrossrefPubMedSearch in Google Scholar
  • 5 Loh KP, Nautsch D, Mueller J, Desilets D, Mehendiratta V. Adenomas involving the extrahepatic biliary tree are rare but have an aggressive clinical course. Endosc Int Open 2016; 4 (02) E112-E117
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Kim B-S, Joo S-H, Joo K-R. Carcinoma in situ arising in a tubulovillous adenoma of the distal common bile duct: a case report. World J Gastroenterol 2008; 14 (29) 4705-4708
    CrossrefPubMedSearch in Google Scholar
  • 7 Yusuf TE, Bhutani MS. Role of endoscopic ultrasonography in diseases of the extrahepatic biliary system. J Gastroenterol Hepatol 2004; 19 (03) 243-250
    CrossrefPubMedSearch in Google Scholar
  • 8 Choi WB, Lee SK, Kim M. et al. A new strategy to predict the neoplastic polyps of the gallbladder based on a scoring system using EUS. Gastrointest Endosc 2000; 52 (03) 372-379
    CrossrefPubMedSearch in Google Scholar
  • 9 Sturgis TM, Fromkes JJ, Marsh W Jr. Adenoma of the common bile duct: endoscopic diagnosis and resection. Gastrointest Endosc 1992; 38 (04) 504-506
    CrossrefPubMedSearch in Google Scholar
  • 10 Ariche AM, Shelef I, Hilzenrat N, Dreznik Z. Villous adenoma of the common bile duct transforming into a cholangiocarcinoma. IMAJ-RAMAT GAN-. 01.12.2002; 4 (12) 1149
    Search in Google Scholar