Gallstone-linked tubular stenosis of the common bile duct.
The transpancreatic segment of the distal common bile duct can be extrinsically stenosed by a pure gallstone-linked pancreatic disorder. It has a specific roentgen configuration--long, tubular and smooth. In two instances it was associated with severe suppurative complications. Precholedochotomy cholangiography is required to identify such long segment benign tubular stenosis of the distal common bile duct as an indication for management alternatives and as a guide to judicious common bile duct exploration.
D000368:Aged; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D002758:Cholangiography; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged