Abstract
An 84-year-old woman who had cholecystectomy, choledochotomy, lithotomy and T-tube drainage for cholecystocholedocholithiasis 5 years earlier, presented with upper abdominal pain and jaundice. She was hospitalized for recurrent choledocholithiasis. An emergency operation was performed and a heterotopic pancreas and a stone were found in the common bile duct. Heterotopic pancreas of the common bile duct is said to be very rare, only 7 cases having been reported. All of the patients were women and were found to have a dilated common bile duct. Biliary stasis by the tumor caused the choledocholithiasis, cholangitis and cholecystitis. Resection of the tumor is thought to be the only reasonable treatment.
