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Journal List > Postgrad Med J > v.65(768); Oct 1989

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Postgrad Med J. 1989 October; 65(768): 794–796.
PMCID: PMC2429839
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Duodenal pseudotumour: a silent impacted common bile duct calculus.
P. J. Finch, J. Haddock, and A. Grundy
Department of Medicine, St George's Hospital, London, UK.
Abstract
We report the case of a man with mild dyspeptic symptoms referred for barium meal, who was initially thought to have a duodenal tumour. Subsequent investigation showed this to be a pseudotumour caused by impaction of a gallstone in the distal common bile duct, and endoscopic sphincterotomy effected a cure. This readily treatable condition should be remembered when filling defects are demonstrated in the duodenal loop.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
  • Gold RP. Medial indentation of the duodenal sweep by common bile duct dilatation. AJR Am J Roentgenol. 1979 Aug;133(2):233–237. [PubMed]
  • Jaques PF, Bream CA. Barium duodenography as an adjunct to percutaneous transhepatic cholangiography. AJR Am J Roentgenol. 1978 Apr;130(4):693–696. [PubMed]
  • Bree RL, Flynn RE. Hypotonic duodenography in the evaluation of choledocholithiasis and obstructive jaundice. Am J Roentgenol Radium Ther Nucl Med. 1972 Oct;116(2):309–319. [PubMed]
  • Eaton SB, Jr, Ferrucci JT, Jr, Benedict KT, Jr, Margulis AF. Diagnosis of choledocholithiasis by barium duodenal examination. Radiology. 1972 Feb;102(2):267–274. [PubMed]
  • Dewbury KC, Smith CL. The misdiagnosis of common bile duct stones with ultrasound. Br J Radiol. 1983 Sep;56(669):625–630. [PubMed]
  • Farah MC, Jafri SZ, Schwab RE, Mezwa DG, Francis IR, Noujaim S, Kim C. Duodenal neoplasms: role of CT. Radiology. 1987 Mar;162(3):839–843. [PubMed]
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