Large foreign body as a nidus for a common duct stone in a patient without spontaneous biliary enteric fistula or previous abdominal surgery.
We report a case of a brown pigment gallstone, which formed around a phytobezoar in the common bile duct, in a patient without spontaneous biliary enteric fistula or previous abdominal surgery. A brief comment on the possible origin of the phytobezoar in this case and on the pattern of deposition of brown material over a pre-existent nidus is also presented.
Cetta
F
F
Institute of Surgical Clinic, University of Siena, Italy.
Lombardo
F
F
Rossi
S
S
D000005:Abdomen / Q000601:surgery; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology; D001630:Bezoars / Q000150:complications; D001658:Biliary Fistula; D001663:Bilirubin / Q000032:analysis; D002784:Cholesterol / Q000032:analysis; D003135:Common Bile Duct; D003137:Common Bile Duct Diseases / Q000150:complications; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D042882:Gallstones / Q000737:chemistry / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula; D019308:Palmitic Acid; D010169:Palmitic Acids / Q000032:analysis
D010169:Palmitic Acids; D019308:Palmitic Acid; D002784:Cholesterol; D001663:Bilirubin