Common bile duct compression by an abdominal aortic aneurysm.

A 76-year-old female was admitted to the hospital with oral bleeding. Laboratory findings were suggestive of disseminated intravascular coagulation. An endoscopic cholangiography was performed in order to rule out a biliopancreatic tumor. A symmetrical stenosis of the lower part of common bile duct was observed. This extrinsic compression was due to a calcified abdominal aortic aneurysm. CT scan confirmed the close relation between the common bile duct and the aortic aneurysm. No cholestasis was described.