We present herein a case where a benign bile duct stricture developed 16 years after an open cholecystectomy and without any prior symptoms. [ncbi.nlm.nih.gov]

Patients with bile duct injury after a laparoscopic cholecystectomy can present with the injury soon after the cholecystectomy or many weeks to months after the injury Patients who present early usually present with leakage of bile into the abdominal [hpbsurgery.com.au]

• Splenomegaly

  This patient has cirrhosis with splenomegaly due to portal hypertension. Extrahepatic duct dilatation is present in 53% of cases, secondary to cholangitis and stone or sludge passage. [radiologyassistant.nl]

• Chills

  Clinical findings Jaundice, fever, chills, abdominal pain. Aetiology Prior local surgery, pancreatitis, trauma, gallstones. [medical-dictionary.thefreedictionary.com]

  When this happens, bile can back up into the liver, causing abdominal pain, nausea, itching, fever, chills, and jaundice. Strictures can be caused during surgery on nearby tissues, such as the gallbladder. [emoryhealthcare.org]

  Symptoms Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored stools Exams and Tests The following tests can help diagnose this condition: Endoscopic retrograde cholangiopancreatography [drrakeshrai.com]

  […] bile duct, liver or pancreas Damage and scarring due to a gallstone in the bile duct Damage or scarring after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills [mountsinai.org]

• Ascites

  Diagnostic laparoscopy showed eosinophilic ascites and necrotic nodules on the posterior abdominal wall. She was treated with anthelminthics on presumption of toxacara infection based on borderline positivity of serological tests. [ncbi.nlm.nih.gov]

  Ascites or pleural effusion if present disappears after surgery. [jmidlifehealth.org]

  More commonly, women present with symptoms of a one-sided pelvic mass that may be associated with ascites and/or pleural effusion, as well as elevation of CA-125 levels in some cases. [cancertherapyadvisor.com]

  Ascites may be present in up to a third of cases 7. CT On CT scans they are most often seen as smooth marginated multicystic masses with a high attenuation on precontrast scans and no or moderate cyst wall enhancement 4. [radiopaedia.org]

• Gangrene

  Hernias, volvulus, and intussusception carry a higher gangrene risk. In a newborn, paralytic ileus that destroys the bowel wall (necrotizing enterocolitis) is a life-threatening condition. It may lead to blood and lung infections. [mclarenhealthplan.org]

  10-CM Diagnosis Code K80.4 Calculus of bile duct with cholecystitis 2016 2017 2018 2019 Non-Billable/Non-Specific Code Applicable To Any condition listed in K80.5 with cholecystitis (with cholangitis) Use Additional code if applicable for associated gangrene [icd10data.com]

  As a child I grew excessive amounts of scare tissue that caused gangrene so they had to remove quite a bit of them. I would really appreciate if you could tell me what kind of doc surgeon I should see. [cholangiocarcinoma.org]

• Anorexia

  SlideShare 0 From Embeds 0 Number of Embeds 44 Actions Shares 0 Downloads 559 Comments 0 Likes 35 No notes for slide Triad –pain, jaundice, fever……….pentad –shock, altered mental status Symptoms of obstructive jaundice---itchy skin,clay coloured stool,anorexia [slideshare.net]

  After the biliary drain removal, patients were instructed to return to their hepatobiliary surgeon at our institution if they experienced any recurrent biliary obstruction symptoms (jaundice, abdominal pain, fever, nausea, anorexia). [journals.plos.org]

• Amyloidosis

  […] biliary cirrhosis Primary sclerosing cholangitis Secondary biliary cirrhosis Biliary atresia Alagille syndrome Byler’s disease Miscellaneous Adult polycystic liver disease Nodular regenerative hyperplasia Caroli’s disease Severe graft-versus-host disease Amyloidosis [intechopen.com]

• Loss of Appetite

  […] due to a gallstone in the bile duct Damage or scarring after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills Fever Itching General feeling of discomfort Loss [mountsinai.org]

  Weight loss. Fever. Night sweats. Loss of appetite. Light-colored stools. [medigoo.com]

  Right upper quadrant (RUQ) abdominal pain Jaundice – yellow discoloration of the skin and eyes Itching skin (pruritus) Pale stools and dark urine Steatorrhea – fatty stools Nausea and sometimes vomiting Loss of appetite Weight loss Fatty deposits in the [healthhype.com]

  Fever Night sweats Loss of appetite Light-colored stools Serious complications A bile duct stricture that completely blocks a bile duct can lead to inflammation of organs within or outside of the biliary tree (gallbladder, liver and pancreas) as well [virginiamason.org]

• Clay-Colored Stool

  Symptoms Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored stools Exams and Tests The following tests can help diagnose this condition: Endoscopic retrograde cholangiopancreatography [drrakeshrai.com]

  […] after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills Fever Itching General feeling of discomfort Loss of appetite Jaundice Nausea and vomiting Pale or clay-colored [mountsinai.org]

  […] gallstone in the bile duct Damage or scarring after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored [baptistjax.com]

  Common symptoms of a bile duct stricture include: Pain in the upper-right abdomen Fever Itching Chills Nausea Jaundice (or yellow skin) Pale or clay colored stools Fatigue Weight loss Night sweats If you experience any of these symptoms, it is crucial [liverandpancreassurgeon.com]

• Jaundice

  We present a case of a 64-year-old woman who presented with sudden onset jaundice and abdominal pain, 1 week following right hemicolectomy. Laboratory reports suggested obstructive jaundice. [ncbi.nlm.nih.gov]

• Biliary Colic

  Sphincter of Oddi dysfunction or papillary stenosis: Patients usually present with biliary colic after cholecystectomy. [emedicine.medscape.com]

  Sphincter of Oddi dysfunction or papillary stenosis Patients usually present with biliary colic after cholecystectomy. [ncbi.nlm.nih.gov]

• Recurrent Jaundice

  The patient initially enjoyed good symptomatic relief post stenting but presented two months later with recurrent jaundice. Investigation confirmed duct dilatation and stent blockage. [ispub.com]

• Scleral Icterus

  Mild jaundice and mild scleral icterus were present. Laboratory work-up revealed a total bilirubin to 2.1 mg/dL, with direct bilirubin of 1.2 mg/dL and normal liver transaminases. [acgcasereports.gi.org]

• Dark Urine

  Right upper quadrant (RUQ) abdominal pain Jaundice – yellow discoloration of the skin and eyes Itching skin (pruritus) Pale stools and dark urine Steatorrhea – fatty stools Nausea and sometimes vomiting Loss of appetite Weight loss Fatty deposits in the [healthhype.com]

  Cholangiocarcinoma, also known as bile duct cancer, is a type of cancer that forms in the bile ducts. [2] Symptoms of cholangiocarcinoma may include abdominal pain, yellowish skin, weight loss, generalized itching, and fever. [1] Light colored stool or dark [en.wikipedia.org]

• Urinary Retention

  In the postoperative period, the patient had urinary retention on POD 1, urine culture sent was sterile. She responded to conservative management Histopathological diagnosis was of benign struma ovarii. Case 3 Mrs. [jmidlifehealth.org]

• Vertigo

  When she laid on her right side the nystagmus was “geotropic” more intense with stronger vertigo. [dizzy.com]

• Dizziness

  Herbal Extracts used) +White flowered Argemone Satyanashi (Wild population growing near nallah; Enriched through Keonti Extracts) in Pankaj Oudhia’s Research Documents on improvement of Promising Herbal Formulations used in Kondagaon Forest region: Dizziness [paramparik.blogspot.com]

A biliary drain can also be used to take bile samples for diagnostic workup or disease monitoring, as well as providing a route of administration for medical substances. [en.wikipedia.org]

The cyst was followed up by sonography which was not decreasing in size so planned for further workup and surgery. Her menstrual cycles were regular with the normal flow with no dysmenorrhea. [jmidlifehealth.org]

Initial laboratory workup showed a normal CBC as well as basic blood chemistry, liver function tests, serum electrolytes, and urinalysis. Thyroid function tests revealed a TSH of <0.01 mIU/mL and a free T4 of 2.6 ng/dL. [hindawi.com]

IgG4 sclerosing disease in a 42-year-old woman who initially underwent workup for an anterior neck mass. An adrenal mass and a pancreatic mass were incidentally detected. [pubs.rsna.org]

This differentiation often poses a significant diagnostic and therapeutic challenge and extensive investigative workup may be required. [fg.bmj.com]

BACKGROUND/AIMS: Endoscopic treatment for postoperative benign bile duct stricture (BBS) is a therapeutic challenge. No previous studies have compared endoscopic treatments for BBS and malignant bile duct stricture (MBS). [ncbi.nlm.nih.gov]

AIM: To compare the outcome of endoscopic therapy for postoperative benign bile duct stricture and benign bile duct stricture due to chronic pancreatitis, including long-term prognosis. [ncbi.nlm.nih.gov]

Associated findings Associated findings are for example: features of chronic pancreatitis evidence of previous cholecystectomy lymph node enlargement infiltrating mass Treatment and prognosis Treatment and prognosis clearly depend on the underlying etiology [radiopaedia.org]

Outlook (Prognosis) Treatment is successful most of the time. Long-term success depends on the cause of the stricture. Possible Complications Inflammation and narrowing of the biliary duct may return in some people. [mountsinai.org]

Etiology There are numerous causes of biliary duct strictures, including 1,2 : malignant cholangiocarcinoma involvement by pancreatic head adenocarcinoma involvement by ampulla of Vater adenocarcinoma involvement by gallbladder carcinoma 4 benign iatrogenic [radiopaedia.org]

Hilar bile duct stricture should be treated surgically according to various etiological features and technical principles of biliary repair. [ncbi.nlm.nih.gov]

Management Endoscopic surgery with insertion of self-expanding metal mesh stents. bile duct stricture Biliary stricture Surgery An abnormal narrowing of the common bile duct, due to local scarring, which may cause biliary obstruction Etiology Prior local [medical-dictionary.thefreedictionary.com]

The most challenging biliary strictures are the indeterminate strictures, which are defined as biliary strictures with unknown etiology following cross-sectional imaging and tissue sampling. [acgcasereports.gi.org]

The main etiology of bile duct strictures closely related to the liver is a malignancy (cancer). However, the differentiation of benign and malignant strictures is notoriously difficult. [sciencedaily.com]

Gastroenterology and Hepatology (34) Surgery, Traumatology and Orthopaedics (32) Infectology (31) Anatomy (26) Histology, Embryology (24) Microbiology (23) Pharmacology (19) Emergency Medicine (17) Respiratory Medicine (17) Immunology, Allergology (16) Epidemiology [portal.mefanet.cz]

The report, which utilized the Surveillance, Epidemiology, and End Results (SEER) database of the National Cancer Institute, also determined that the risk of aggressive thyroid cancer in patients with malignant struma ovarii is high. [emedicine.medscape.com]

Epidemiology Frequency United StatesAlthough quite uncommon, the exact prevalence of bile duct strictures (biliary strictures) is unknown. [thehealthscience.com]

[…] malignant thyroid tissue Most common thyroid malignancy to occur in struma ovarii is papillary thyroid carcinoma, followed by follicular carcinoma ICD coding ICD-10: D27.9 - benign neoplasm of unspecified ovary ICD-10: C56 - malignant neoplasm of ovary Epidemiology [pathologyoutlines.com]

Food-borne trematodiases in Southeast Asia epidemiology, pathology, clinical manifestation and control. Advances in Parasitology. 72. pp. 305–50. doi : 10.1016/S0065-308X(10)72011-X. ISBN 9780123815132. [en.wikipedia.org]

Internal Medicine (55) Medical Chemistry and Biochemistry (54) Pathology and Forensic Medicine (54) Physiology and Pathophysiology (49) Paediatrics, Neonatology (46) Gastroenterology and Hepatology (34) Surgery, Traumatology and Orthopaedics (32) Infectology [portal.mefanet.cz]

Pathophysiology Strictures of the bile duct can be benign or malignant. Benign strictures develop when the bile ducts are injured in some way. [thehealthscience.com]

[…] coding ICD-10: D27.9 - benign neoplasm of unspecified ovary ICD-10: C56 - malignant neoplasm of ovary Epidemiology Most common type of monodermal teratoma Accounts for 3% of ovarian teratomas (Pathol 2007;39:139) Usually presents in the fifth decade Pathophysiology [pathologyoutlines.com]

Pathophysiology Benign strictures develop due to damage to the bile ducts during surgery or trauma to the abdomen; a recurring condition, such as pancreatitis or bile duct stones; or a chronic disease, such as primary sclerosing cholangitis (PSC). [ncbi.nlm.nih.gov]

Direct biliary-enteric anastomosis is the procedure of choice when possible to relieve symptoms and prevent the potentially life-threatening complications of cholangitis and septicemia. [ncbi.nlm.nih.gov]

Doherty Lippincott Williams & Wilkins, 2006 - 826 من الصفحات This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. [books.google.com]

When to Contact a Medical Professional Call your provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention Prevention depends on the cause. [mclarenhealthplan.org]