CASE REPORT   

Chirurgia 2004 August;17(4):133-6

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Historical shape of “empierrement” of the common bile duct

Dapri G., Nardi F., Gavelli A., Ambrosiani N., Marmorale A., Huguet C.

Choledocholithiasis is a popular pathology, but the reason we have decided to publish this case report is the enormous dilatation of the common bile duct (50-55 mm) and the historical shape of this ''empierrement''. Our case is an 84-year-old woman, known for symptomatic cholelithiasis (about 30 years ago), who developed choledocholithiasis 10 years ago and was hospitalised several times for cholangitis attacks. The patient, after refusing various treatments, was finally treated surgically: cholecystectomy and extraction of a big arboriform stone from the common bile duct and smaller stones from intra-hepatic bile ducts, followed by a bile-digestive derivation. In cases of ''empierrement'' of the common bile duct and imposing choledochal dilatation, we still consider classic surgery to be a valid solution.