A Case of Heterotopic Pancreas and a Stone in the Common Bile Duct with Obstructive Jaundice

Satoru Yanagisawa, Tokuyasu Yokota, Ryunosuke Ogawa, Jun Tanaka, Kaoru Mizusaki, Tsuneo Takahashi, Teruaki Aoki

Department of Surgery (II), Jikei University School of Medicine

An 84-year-old woman who had cholecystectomy, choledochotomy, lithotomy and T-tube drainage for cholecystocholedocholithiasis 5 years earlier, presented with upper abdominal pain and jaundice. She was hospitalized for recurrent choledocholithiasis. An emergency operation was performed and a heterotopic pancreas and a stone were found in the common bile duct. Heterotopic pancreas of the common bile duct is said to be very rare, only 7 cases having been reported. All of the patients were women and were found to have a dilated common bile duct. Biliary stasis by the tumor caused the choledocholithiasis, cholangitis and cholecystitis. Resection of the tumor is thought to be the only reasonable treatment.

Key words
heterotopic pancreas, common bile duct, choledocholithiasis

Reprint requests
Satoru Yanagisawa Department of Surgery (II), Jikei University School of Medicine
3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105 JAPAN

Accepted
November 11, 1992

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