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  • Bile Duct Injury

    BilIN, IPNB, and/or chronic bile duct injury were observed in almost all the large bile ducts.[ncbi.nlm.nih.gov] Liver biopsy disclosed CNSDC-like bile duct injuries and severe interface hepatitis and lobular hepatitis with perivenular zonal necrosis were observed.[ncbi.nlm.nih.gov] Usually this is solved by endoscopic retrograde cholangiopancreatography (ERCP) sphincterotomy and stent, or enteric bypass, suture repair and tube drainage.[ncbi.nlm.nih.gov] Our case underscores the need for judicious use of radiofrequency energy devices, particularly for liver resections that involve central transection planes.[ncbi.nlm.nih.gov] The management of LC-related biliary injuries requires a multidisciplinary approach involving an endoscopist experienced in the use of ERCP, a skilled interventional radiologist[ncbi.nlm.nih.gov] Endoscopic retrograde cholangiography (ERC) on admission day revealed an extensive defect of the right biliary system, which could not be treated endoscopically.[ncbi.nlm.nih.gov] During operation, gallbladder was decompressed for achieving critical view.[omicsonline.org] One of the predisposing factors for both blunt and penetrating trauma to the gallbladder is intraluminal distension.[intechopen.com] The aim of this study was to review the indications and outcome of liver transplantation (LT) for BDI after open and laparoscopic cholecystectomy.[ncbi.nlm.nih.gov] The physician will then get to work on repairing the damaged bile duct using the patient’s intestine to bypass the injury and prevent any further complications.[liverandpancreassurgeon.com]

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  • Cholecystitis

    duct.[ncbi.nlm.nih.gov] Abstract A 70-year-old woman with chronic hepatitis C was admitted to our hospital due to liver injury, cholecystitis, and disseminated intravascular coagulation with a fever[ncbi.nlm.nih.gov] Techniques are described for draining cholecystitis, removing gallstones, bypassing gallbladder obstructions, and inserting metallic stents across the cystic duct to restore[ncbi.nlm.nih.gov] Our standard procedure for single-incision cholecystectomy routinely uses two needlescopic devices.[ncbi.nlm.nih.gov] CONCLUSION: An initial laparoscopic approach is possible for xanthogranulomatous cholecystitis.[ncbi.nlm.nih.gov] Symptoms Signs and symptoms of cholecystitis may include: Severe pain in your upper right or center abdomen Pain that spreads to your right shoulder or back Tenderness over[mayoclinic.org] A cholecystectomy was carried out and histology of the gallbladder revealed a marginal zone lymphoma. KEYWORDS: Gallbladder; Lymphoma; Perforation[ncbi.nlm.nih.gov] Only three imaging findings: disrupted gallbladder mucosa (κ   0.68), intraluminal gallstones (κ   0.66), and gallbladder wall thickness (ICC   0.63) had substantial inter-rater[ncbi.nlm.nih.gov] Open cholecystectomy. Percutaneous transhepatic placement of a cholecystostomy tube.[en.wikibooks.org] The main laboratorial alterations are: leukopenia, lymphocytosis, signs of altered hepatic functions and hepatitis IgM serology.[scielo.br]

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  • Biliary Fistula

    KEYWORDS: Bile ducts; Biliary fistula; Cutaneous fistula; Intrahepatic[ncbi.nlm.nih.gov] This resulted in a previously unreported complication of a hepatic artery-biliary fistula.[ncbi.nlm.nih.gov] The patient underwent bilio-enteric bypass with gastric access loop, with complete healing of the pleuro-biliary fistula.[ncbi.nlm.nih.gov] Learn more Rent/Cloud Rent for 48h to view Buy Cloud Access for unlimited viewing via different devices Synchronizing in the ReadCube Cloud Printing and saving restrictions[karger.com] RESULTS: A staged approach to the management of these patients was adopted in which the initial management aimed at creating a 'controlled' fistula.[ncbi.nlm.nih.gov] Cysts were located in the right lobe anterior segment 37 (24.2%) patients, right lobe posterior segment 59 (38.6%) patients, the left lobe in 26 (17.0%) patients, and both[ncbi.nlm.nih.gov] This was complicated by a bilio-biliary fistula between the gallbladder and both the right and left hepatic ducts.[ncbi.nlm.nih.gov] This situation may cause an increase of the vesicular intraluminal pressure that would favor necrosis and fistulization of the biliodigestive barrier.[revistas.unal.edu.co] Pseudoaneurysm accounts for nearly 10% of hemobilia cases [ 12 ], which have been associated with percutaneously placed devices [ 13 ].[wjes.biomedcentral.com] A radionuclide scan confirmed massive extravasation of isotope from the right lobe.[ncbi.nlm.nih.gov]

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  • Cholecystectomy

    On histopathology, she was found to have HGD at the cystic duct margin.[ncbi.nlm.nih.gov] KEYWORDS: correlative imaging; hepatic abscess; hepatobiliary abscess; liver abscess [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov] This paper presents a case of a 66-year old female patient following coronary artery bypass grafting (CABG) complicated with sternum infection and cholecystectomy due to gallbladder[ncbi.nlm.nih.gov] Here, we present a patient with an intrauterine contraceptive device who developed a long lasting and unexplained recurrent, painful abdominal swelling a few months after[ncbi.nlm.nih.gov] New minimally invasive approaches for cholecystectomy: Review of literature.[doi.org] Abstract A 68-year-old woman presented to the emergency department, with an abscess in the right upper anterior abdominal wall.[ncbi.nlm.nih.gov] AIMS: In this study, we aimed to evaluate the incidence of gallbladder cancer among patients undergoing cholecystectomies due to gallbladder disease.[ncbi.nlm.nih.gov] A50-year lady presented with an "on and off discharging wound" from the postoperative wound site of open cholecystectomy, which was done 7 years ago.[ncbi.nlm.nih.gov] Refinements in laparoscopic surgery have progressed to the point that complex surgical procedures, such as gastric bypass, can now be performed in a minimally invasive fashion[prnewswire.com] Conclusions: A novel endoscopic insertion device with a polydixanone BDBS appears feasible in treating disorders of the human biliary duct.[doi.org]

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  • Cholangiocarcinoma

    You are here Home Types of Cancer Bile Duct Cancer (Cholangiocarcinoma) Bile Duct Cancer (Cholangiocarcinoma) This is Cancer.Net’s Guide to Bile Duct Cancer (Cholangiocarcinoma[cancer.net] Major partial hepatic resection was defined as resection of 3 or more anatomical hepatic segments.[dx.doi.org] During the surgery, the liver was removed with the retrohepatic vena cava, which was replaced by a prosthetic graft without a veno-venous bypass.[ncbi.nlm.nih.gov] Expert commentary: Despite improvement in diagnostic methods and devices, the dilemma of diagnosing CCA in patients with PSC has not been solved yet and needs further investigation[ncbi.nlm.nih.gov] […] common hepatobiliary malignancy after hepatocellular carcinoma, is a heterogeneous disease entity with widely varying radiologic features, clinical behavior, and treatment approaches[ncbi.nlm.nih.gov] This case emphasized the importance of a thorough examination of gallbladder before surgery, especially in those cases with suspected double gallbladder, since each gallbladder[ncbi.nlm.nih.gov] Papillary and nodular ductal cholangiocarcinoma are relatively easy to see at US: Papillary tumors resemble polypoid intraluminal masses, whereas nodular cholangiocarcinoma[ncbi.nlm.nih.gov] […] were reconstructed preoperatively from CT data, and the 3D images were used for preoperative planning and augmented reality (AR)-assisted intraoperative navigation during open[ncbi.nlm.nih.gov] An infiltrating stenotic lesion was found in 17 (59%) of 29 patients, an exophytic hilar lesion was found in 11 patients (38%), and one patient (3%) had an intraluminal polypoid[doi.org] […] pathogenesis of GBC and CCA at the interface with specific risk factors is significantly lower than for other gastrointestinal malignancies, it continues to evolve and may soon open[ncbi.nlm.nih.gov]

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  • Acute Cholecystitis

    In these circumstances, percutaneous cystic duct stenting isa novel treatment option.[ncbi.nlm.nih.gov] We also review the literature on right hepatic artery pseudoaneurysm secondary to acute cholecystitis.[ncbi.nlm.nih.gov] A 39-year-old man referred with chest pain and cold sweating and scheduled for coronary artery bypass grafting (CABG) because of severe stenosis in right coronary artery,[ncbi.nlm.nih.gov] Recently, a novel endoscopic device containing a lumen-apposing metal stent with an electrocautery (ECE-LAMS) on the tip has been developed.[ncbi.nlm.nih.gov] […] surgery approach or the ASU model.[ncbi.nlm.nih.gov] We postulated that APC is a complication of advanced gallbladder inflammation.[ncbi.nlm.nih.gov] These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[sonoworld.com] However, open hernioplasty has at least as good, if not better, health status outcomes than laparoscopic repair.[doi.org] […] estrogens, total parenteral nutrition — Ethnicity: Native American (Pima Indian), Scandinavian — Female gender — Heredity: first-degree relatives — Ileal disease, resection, or bypass[medical-institution.com] […] gallstone obstruction of the gallbladder neck or cystic duct inflammation from chemical injury of the mucosa by bile salts reactive production of mucus, leading to increased intraluminal[radiopaedia.org]

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  • Laparoscopic Cholecystectomy

    Abstract Bile duct injuries (BDIs) are difficult to avoid absolutely when the biliary tract has a malformation, such as accessory hepatic duct.[ncbi.nlm.nih.gov] Abstract We report a case of chronic infection caused by Salmonella and cured by a laparoscopic cholecystectomy after Roux-en-Y gastric bypass (RYGB) surgery for obesity.[ncbi.nlm.nih.gov] […] with the device and other comorbidities.[ncbi.nlm.nih.gov] A new technique, the subcostal trocar approach using four 5-mm with exclusive removal (STAUFFER) LC, was developed to diminish these impediments and is highly advantageous[ncbi.nlm.nih.gov] Right hepatectomy with Roux-en-Y hepaticojejunostomy and reconstruction of her portal vein with a vein allograft were performed.[ncbi.nlm.nih.gov] Despite frequent pre-operative imaging, the aberrant location of the gallbladder is commonly discovered at surgery.[ncbi.nlm.nih.gov] Conversion of laparoscopic to open procedures was not associated with increased adverse outcomes.[ncbi.nlm.nih.gov] Discussion Cavernous transformation of portal vein is the development of a network of tortuous collateral vessels bypassing the obstructive area due to PVT.[omicsonline.org] Otherwise both of the approaches improve patient outcomes towards early recovery and discharge from hospital.[ncbi.nlm.nih.gov] Exploratory laparotomy, ERCP and MRCP revealed a metal clip placed just below hepatic duct confluence and causing stricture of bile duct with dilatation of bile ducts proximal[ncbi.nlm.nih.gov]

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  • Choledocholithiasis

    The presence of duplicated extrahepatic bile ducts with a proximal communication, and the ducts were joined distally and they subsequently formed a single common bile duct[ncbi.nlm.nih.gov] Biliary ascariasis leading to choledocholithiasis, cholangitis, hepatic abscesses and gram negative septicemia.[apicareonline.com] BACKGROUND: Evaluation of the prevalance of cholelithiasis, choledocholithiasis and there management after sleeve gastrectomy, gastric bypass and mini gastric bypass in Indian[ncbi.nlm.nih.gov] In this procedure, a device is inserted into the bile duct and is used to extract the stones.[epainassist.com] OBJECTIVE: The aim of this study was to investigate the value of a single stage with combined tri-endoscopic (duodenoscopy, laparoscopy and choledochoscopy) approach for patients[ncbi.nlm.nih.gov] All rights reserved.[ncbi.nlm.nih.gov] […] calculous gallbladder (n 256) and acalculous gallbladder (n 197).[ncbi.nlm.nih.gov] Figure 1: The gallbladder demonstrates intraluminal stone measures 0.5 cm Click here to view Figure 2: The common bile duct is dilated and measures 0.6 cm, and shows two large[saudisurgj.org] OBJECTIVE: The aim of the study was to develop a scoring model that would predict CBDS before open cholecystectomy.[ncbi.nlm.nih.gov] The patient underwent bilioenteric bypass and ligation of the fistulous tract with complete cure.[ncbi.nlm.nih.gov]

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  • Klatskin Tumor

    Abstract The first reported case of a leiomyoma of the proximal bile duct simulating a Klatskin tumor and causing obstructive cholestasis is presented.[ncbi.nlm.nih.gov] When resection is not feasible, either operative bilioenteric bypass or percutaneous transhepatic intubation can achieve significant palliation.[ncbi.nlm.nih.gov] […] pseudotumor 322 Case 91 Pelvic pseudotumor due to perineal muscle flap 324 Case 92 Pseudotumor due to failed renal transplant 328 Case 93 Pseudotumor due to hernia repair device[books.google.com] A more extensive surgical approach, as proposed by Japanese surgeons, has been applied in our center over the last 5 years; it combines hilar resection with partial hepatectomy[ncbi.nlm.nih.gov] Sixty-one patients underwent right-sided resections (right group), whereas 44 underwent left-sided resections (left group).[ncbi.nlm.nih.gov] RESULTS: The nontumoral epithelia of the gallbladder, intrahepatic ducts, and Klatskin tumor did not express MMP-2.[ncbi.nlm.nih.gov] […] echotexture according to one study was 5 : increased echogenicity relative to surrounding liver 80% reduced echogenicity 20% mixed echogenicity 2% Ultrasound may also show an intraluminal[radiopaedia.org] Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that is used to take a biopsy of a suspicious bile duct mass, and it can allow placement of a stent to open[es.oncolink.org] Here, we report a 39-year-old Iranian woman with neurilemmoma in the extrahepatic bile duct presenting with progressively deepening jaundice.[ncbi.nlm.nih.gov] Hepatic tuberculosis mimicking Klatskin tumor: A diagnostic dilemma.[ijpmonline.org]

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  • Cholangitis

    Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him.[ncbi.nlm.nih.gov] Resources In This Article Inclusion Body Hepatitis/Hydropericardium Syndrome Overview of Inclusion Body Hepatitis/Hydropericardium Syndrome in Poultry[merckvetmanual.com] […] opens a blocked blood vessel in the heart In some cases, surgery may be an option to remove some scarred and blocked bile ducts and having more normal bile ducts reconnected bypassing[medicinenet.com] Maple , Biliary and pancreatic lithotripsy devices , VideoGIE , 10.1016/j.vgie.2018.07.010 , (2018) .[dx.doi.org] CASE REPORT The best approach for diagnosing primary sclerosing cholangitis Wellington Andraus; Luciana Haddad; Lucas Souto Nacif; Felipe D.[scielo.br] EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Case 1 A 54-year-old female presents to the emergency department (ED) complaining of right[emdocs.net] Aetiology [ 5 , 6 ] Obstruction of the gallbladder or bile duct due to stones. ERCP.[patient.info] ERCP), biliary parasites, primary sclerosing cholangitis (PSC) Elevated intraluminal pressure in the gallbladder leads to translocation of bacteria Bacteria may gain access[coreem.net] Efficacy and safety continue to be monitored through an ongoing 6-year open-label extension (N 28).[ncbi.nlm.nih.gov] Open Common Bile Duct Exploration  Indicated for patients who cannot undergo endoscopic drainage  prior Roux-en-Y choledochojejunostomy or gastric bypass procedure  T-tube[slideshare.net]

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