An unusual cause of biliary obstruction: a case report

Authors

  • Bethany K. Matthews Department of General Surgery, The Royal Brisbane Hospital, Brisbane, Queensland, Australia; University of Queensland, Brisbane, Queensland Australia
  • Pranavan Palamuthusingam Department of General Surgery, The Royal Brisbane Hospital, Brisbane, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20240370

Keywords:

Biliary obstruction, Compression, Abdominal aortic aneurysm

Abstract

Abdominal aortic aneurysms are considered as an unusual cause of extraductal biliary obstruction with less than 30 case studies found within the literature. This case report will discuss an 81-year-old female with an incidental initially asymptomatic finding of extrahepatic biliary obstruction and gallbladder distension secondary to an abdominal aortic aneurysm in routine computed tomography staging scan. Extraductal biliary obstructions can require alternative or additional interventions to that of treatment for intraductal obstruction. Subsequently, the aetiology of biliary obstruction is important for clinicians to consider and recognise, to allow for the implementation of appropriate and timely management.

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References

Tin K, Sobani ZA, Horovitz J, Rahmani R. Aortic and splanchnic artery aneurysms: unusual causes of biliary obstruction-a retrospective cohort from literature. In J Surg. 2018;39:163-8.

Coucke EM, Akbar H, Kahloon A, Lopez PP. Stat Pearls. Biliary obstruction, 2022. Treasure Island (FL): StatPearls Publishing. 2024.

Changal KH, Lim F, Sunkara T, Hamdani SU. Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction. BMJ Case Rep. 2017; 220539.

Kimura Y, Takada T, Kawarada Y, Nimura Y, Hirata K, Skimoto M et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg 2007;14(1):15-26

Gossili F, Zacho HD. Giant Hepatic Artery Aneurysm. Diagnostics (Basel). 2019;9(2):53.

Shaw PM, Loree J, Gibbons RC. Stat Pearls. Abdominal Aortic Aneurysm. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2024.

Dorrucci V, Dusi R, Rombolà G, Cordiano C. Contained Rupture of an Abdominal Aortic Aneurysm Presenting as Obstructive Jaundice: Report of a Case. Surg Today. 2001;31:331-2.

Jiang JJ, Dong ZR, Liu KX, Hai-Chao L, Hong J, Li T. Biliary Obstruction Caused by an Abdominal Aortic Aneurysm. J Gastrointest Surg. 24 2020;1894-6.

Gorelik O, Shteinschnaider M, Cohen N, Almoznino-Sarafian D. Visible Courvoisier's sign: a rare presentation of bile duct obstruction. Harefuah. 2013152(9):516-7.

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Published

2024-02-22

How to Cite

Matthews, B. K., & Palamuthusingam, P. (2024). An unusual cause of biliary obstruction: a case report. International Surgery Journal, 11(3), 417–419. https://doi.org/10.18203/2349-2902.isj20240370

Issue

Section

Case Reports