Endoscopic biliary plastic stenting and successful intentional stent retrieval in a benign biliary stricture with mural spherical calcification and porcelain gallbladder.
We report a very rare case of benign biliary stricture with calcification and porcelain gallbladder, causing difficulty in differential diagnosis. A 64-year-old man was referred for further examination of jaundice. Computed tomography showed calcifications in the gallbladder wall and the common bile duct. Endoscopic retrograde cholangiopancreatography revealed narrowing and a filling defect in the distal common bile duct. Peroral cholangioscopy showed a protruded lesion and stricture, and pathological examinations revealed no evidence of malignancy. The stricture was resolved after temporary insertion of progressively larger of plastic stents. Patients with benign biliary stricture and/or porcelain gallbladder should be followed carefully, because malignancy can occur as a complication, although infrequent.
Fukui
Toshiro
T
The Third Department of Internal Medicine, Division of Gastroenterology and Hepatology, Kansai Medical University, Moriguchi. fukuitos@takii.kmu.ac.jp
Nakayama
Shinji
S
Shimatani
Masaaki
M
Uchida
Kazushige
K
Matsushita
Mitsunobu
M
Nishio
Akiyoshi
A
Seki
Toshihito
T
Okazaki
Kazuichi
K
D001662:Biliary Tract Surgical Procedures; D002114:Calcinosis / Q000473:pathology / Q000601:surgery; D049448:Cholangiopancreatography, Magnetic Resonance; D003137:Common Bile Duct Diseases / Q000473:pathology* / Q000601:surgery*; D003251:Constriction, Pathologic; D016145:Endoscopy, Digestive System; D005705:Gallbladder Diseases / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents