©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 21, 2015; 21(11): 3425-3428
Published online Mar 21, 2015. doi: 10.3748/wjg.v21.i11.3425
Published online Mar 21, 2015. doi: 10.3748/wjg.v21.i11.3425
Congenital left intrahepatic bile duct draining into gastric wall mimicking biliary reflux gastritis
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
Ling Zhang, Department of Medical Imaging and Interventional Radiology, Cancer Center, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China
Author contributions: Guan J and Chu JP designed the report; Zhang L and Li ZP collected the patient’s clinical data; Lin SC performed MRCP scan; Chu JP and Guan J analyzed the data and wrote the paper.
Correspondence to: Jian-Ping Chu, MD, Department of Medical Imaging, the First Affiliated Hospital, Sun Yat-Sen University, 58th the Second Zhongshan Road, Guangzhou 510080, Guangdong Province, China. truechu@hotmail.com
Telephone: +86-20-87755766 Fax: +86-20-87615805
Received: October 6, 2014
Peer-review started: October 7, 2014
First decision: October 14, 2014
Revised: November 4, 2014
Accepted: December 1, 2014
Article in press: December 1, 2014
Published online: March 21, 2015
Processing time: 163 Days and 18 Hours
Peer-review started: October 7, 2014
First decision: October 14, 2014
Revised: November 4, 2014
Accepted: December 1, 2014
Article in press: December 1, 2014
Published online: March 21, 2015
Processing time: 163 Days and 18 Hours
Core Tip
Core tip: 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. We report a case with congenital left intrahepatic bile duct draining into gastric wall. The clinical symptoms are similar to bile reflux gastritis and the imaging changes are easily misdiagnosed as gastric tumor. The comprehensive imaging examination is necessary for correct diagnosis.