title: Spiral filling defect in the common bile duct.
abstract: A spiral filling defect in the common bile duct was found in an elderly woman with intermittent obstructive jaundice. A large, smooth papilla was shown on hypotonic duodenogram. At laparotomy, mucus strans were found in the DUCT, and ampullary carcinoma in the duodenum. The significance of the mucus strand and large duodenal papilla is discussed.
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging; D000368:Aged; D014670:Ampulla of Vater / Q000000981:diagnostic imaging*; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging; D003135:Common Bile Duct / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D009093:Mucus; D011859:Radiography