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2026, Number 1

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Cir Gen 2026; 48 (1)

Biliary phytobezoar associated with severe cholangitis

Lee RSA, Camacho AJF

Language: Spanish
References: 25
Page: 41-46
PDF size: 298.78 Kb.


ABSTRACT

Biliary phytobezoars are plant fibers found in the bile duct, and are related to the loss of sphincter due to previous bilioenteric surgery or sphincterotomy, and are extremely rare in the medical literature. We present the case of a 40-year-old female, with a history of cholecystectomy 30 years ago and two previous endoscopic retrograde cholangiopancreatographies. She has abdominal pain for seven days that ends in loss of alertness and mechanical ventilation. Urgent surgery was performed with exploration of the bile duct, extracting a plant fiber. After management in the intensive care unit, the patient was discharged on day 48 postoperatively without complications. The presence of foreign bodies in the bile duct should be one of the differential diagnostic suspicions in cases of bile duct obstruction and/or cholangitis and with a history of biliary or bilioenteric surgery associated with performing endoscopic retrograde cholangiopancreatography/sphincterotomy. Biliary phytobezoars are a very rare cause of cholangitis and immediate management –whether endoscopic or surgical– should be considered and given priority in any patient whose clinical condition is serious.


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