Insertion of a biliary stent from the stomach. case report of ectopic opening of the common bile duct in the pyloric canal

Introduction: The major papilla of Vater is usually located in the descending part of the duodenum on the posterior medial wall. Occasionally it may be found in other sites, including the stomach, the pyloric canal, the duodenal bulb and the third or the fourth portion of the duodenum. Most commonly, the distance between the pyloric sphincter and the papilla of Vater is longer than 5cm. Case: A 68 old male was admitted to our hospital because of painful obstructive jaundice. The patient had relapsing ulcer disease for more than 40 years and some episodes of spontaneously disappearing obstructive jaundice, but un…