Presentation
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]
Entire Body System
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Chills
Clinical findings Jaundice, fever, chills, abdominal pain. Aetiology Prior local surgery, pancreatitis, trauma, gallstones. [medical-dictionary.thefreedictionary.com]
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]
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]
[…] 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 [baptistjax.com]
Gastrointestinal
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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]
[…] 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]
[…] 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]
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]
Liver, Gall & Pancreas
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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]
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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]
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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]
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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]
Workup
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]
Further workup at that time was precluded due to complications from a fall. He was referred to our facility for endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). [cytojournal.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]
Microbiology
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Mycobacterium Avium Complex
Other potential causative agents include Mycobacterium avium complex, Microsporidia species, and herpes simplex virus (64). However, no pathogen is identified in up to 50% of patients (64). [pubs.rsna.org]
Treatment
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]
Prognosis
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. [baptistjax.com]
Etiology
Hilar bile duct stricture should be treated surgically according to various etiological features and technical principles of biliary repair. [ncbi.nlm.nih.gov]
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]
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]
Epidemiology
Epidemiology Frequency United StatesAlthough quite uncommon, the exact prevalence of bile duct strictures (biliary strictures) is unknown. [thehealthscience.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]
[…] 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]
Linguistic Variant - Portuguese, Brazil) 2015AB LNC-RU-RU (LOINC Linguistic Variant - Russian, Russia) 2015AB LNC-TR-TR (LOINC Linguistic Variant - Turkish, Turkey) 2015AB LNC-ZH-CN (LOINC Linguistic Variant - Chinese, China) 2015AB MCM (Glossary of Clinical Epidemiologic [doctor.am]
Pathophysiology
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]
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 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]
Prevention
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]
Bile Duct Cancer Though a rare type of cancer that affects a small percentage of Americans each year, bile duct cancer can severely restrict your bile duct and prevent proper amounts of bile being delivered to the small intestine during digestion. [liverandpancreassurgeon.com]