CASE REPORT   

Chirurgia 2003 October-December;16(5-6):197-9

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English

Common bile duct obstruction secondary to candida bezoar

Agaoglu N., Arslan M. K., Turgutalp H.

Extrabiliary tract obstruction due to the fungus bezoar is extremely rare. A case of candida bezoar in the common bile duct causing obstructive jaundice and candidia cholecystitis in a patient with shotgun blast injury is presented here to draw attention to this rare complication. The patient was managed successfully with cholecystectomy, extraction of candidal bezoar through supraduodenal choledochotomy, T-tube drainage of the common bile duct and fluconazole as antifungal agent. In critically ill patients with prolonged broad-spectrum antibiotic therapy candida bezoar should be considered as a possible cause of obstructive jaundice.