title: Congenital left intrahepatic bile duct draining into gastric wall mimicking biliary reflux gastritis.
abstract: Abnormalities and variations of the biliary ducts are not rare. Most aberrant bile ducts eventually drain into the descending part of duodenum through the papilla of vater. However, drainage of the left hepatic bile duct into the stomach is extremely rare. A 29-year old man was admitted to the hospital with the diagnosis of biliary reflux gastritis. Comprehensive imaging modalities were performed including electronic endoscopy, endoscopic ultrasonography, endoscopic retrograde cholangiopancreatography and magnetic resonance cholangio-pancreatography. Finally, congenital ectopic left intrahepatic bile duct draining into the stomach was found, which caused biliary reflux gastritis. The patient did not receive any surgery. Good recovery was achieved by medical treatment.
authors: Jian Guan, Jian-Ping Chu, Shao-Chun Lin, Zi-Ping Li, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
authors: Jian
authors: J
authors: Guan
authors: Jian Guan, Jian-Ping Chu, Shao-Chun Lin, Zi-Ping Li, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
authors: Ling
authors: L
authors: Zhang
authors: Jian Guan, Jian-Ping Chu, Shao-Chun Lin, Zi-Ping Li, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
authors: Jian-Ping
authors: JP
authors: Chu
authors: Jian Guan, Jian-Ping Chu, Shao-Chun Lin, Zi-Ping Li, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
authors: Shao-Chun
authors: SC
authors: Lin
authors: Jian Guan, Jian-Ping Chu, Shao-Chun Lin, Zi-Ping Li, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
authors: Zi-Ping
authors: ZP
authors: Li
mesh_terms: D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000002:abnormalities*; D001655:Bile Reflux / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D004065:Digestive System Abnormalities / Q000150:complications* / Q000175:diagnosis; D019160:Endosonography; D005756:Gastritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D013270:Stomach / Q000002:abnormalities*; D016896:Treatment Outcome
keywords: Cholangiopancreatography; Ectopic left intrahepatic bile duct; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Magnetic resonance