Year 2022 / Volume 114 / Number 4
Digestive Diseases Image
“White bile” as a result of a malignant bile obstruction

231-232

DOI: 10.17235/reed.2021.8098/2021

Sara Pérez Moyano, César Arranz Solana, Julio Guilarte López-Mañas,

Abstract
An 87-year-old female was admitted for endoscopic retrograde cholangiopancreatography (ERCP) due to obstructive jaundice. On admission, total bilirubin was 15 mg/dl at the expense of direct bilirubin, GOT 356 U/l mg/dl, GPT 174 U/l, FA 2,358 U/l and GGT 1,089 U/l. The ERCP showed a prominent, irregular, non-cannulable papilla, so a fistulotomy was performed, emitting a clear, non-mucous fluid. Biliary localization was verified after inserting the guidewire. Cholangiography showed dilatation of the intra-extra hepatic bile duct (common bile duct 18-20 mm). An uncoated metal prosthesis was implanted and a biopsy was performed, confirming papillary adenocarcinoma.
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References
1. Vinnet Ahuna, MD. Pramod Kumar G. Dinesh Kumar MD, “et al”. Presence of White bile associated with lower survival in malignant biliary obstruction. Gastrointestinal endoscopy. 2002; 55 (2) 186-191 DOI: https://doi.org/10.1067/mge.2002.121336
2. D’almeida R, Barbe R, Untereiner V, “et al”. White bilie in patients with malignant biliary obstruction is an independent factor of poor survival. Endoscopy intertatinal Open 2021; 09;E 203-209. DOI: https://doi.org/10.1055/a-1324-2721
3. Gremida A, Rustagi T. Clinic Endosc 2018;51:109-110. DOI: https://doi.org/19.5946/ce.2017.111
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Pérez Moyano S, Arranz Solana C, Guilarte López-Mañas J. “White bile” as a result of a malignant bile obstruction. 8098/2021


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Publication history

Received: 13/05/2021

Accepted: 13/07/2021

Online First: 28/07/2021

Published: 07/04/2022

Article revision time: 60 days

Article Online First time: 76 days

Article editing time: 329 days


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