Extrahepatic Biliary Obstruction by a Common Bile Duct Inflammatory Polyp in Association with a Gallstone, and Treatment by Endoscopic Sphincterotomy

Endoscopy ◽  
1986 ◽  
Vol 18 (02) ◽  
pp. 66-68 ◽  
Author(s):  
H.A. Shepherd ◽  
J.M. Laidlow ◽  
A.P. Ross ◽  
A. Vincenti ◽  
R.H. Lane
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Inflammatory Polyp ◽  
Extrahepatic Biliary Obstruction

scholarly journals Duodenal peripapillary adenocarcinoma causing extrahepatic biliary obstruction and icterus in a cat

2020 ◽  
Vol 89 (5) ◽  
pp. 273-277
Author(s):  
T. Rick ◽  
E. Stock ◽  
I. Van de Maele ◽  
E. Kammergruber ◽  
J. Saunders
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Obstruction ◽  
Ultrasound Examination ◽  
Duodenal Wall ◽  
Abdominal Ultrasonography ◽  
Extrahepatic Biliary Obstruction ◽  
History Of ◽  
The Common ◽  
Distal Aspect

A six-year-old, female, neutered domestic shorthair cat was presented with chronic weight loss and a two-day history of partial anorexia and lethargy. Abdominal ultrasonography revealed a regional thickening of the duodenal wall with loss of normal layering, a normally walled segmentally dilated distal aspect of the common bile duct containing slightly hyperechoic bile, and a mild to moderately enlarged major duodenal papilla. Based on the ultrasound examination, the primary differential diagnosis was a peripapillary duodenal neoplastic or less likely, an inflammatory or infectious process with secondary extrahepatic biliary obstruction. Postmortem examination revealed a duodenal, peripapillary adenocarcinoma with metastasis into the liver and lymph nodes, and external compressive obstruction of cystic- and common bile duct.

scholarly journals Novel Multicentric Hepatic Lymphoma with Extrahepatic Biliary Obstruction Associated with Duodenal Perforation in a Cat

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Isabella Hildebrandt ◽  
Adam Rudinsky ◽  
Valerie Parker ◽  
Jenessa Winston ◽  
Alexandra Wood ◽  
...  
Keyword(s):  
T Cell ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Obstruction ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Duodenal Perforation ◽  
Duct Carcinoma ◽  
Peritoneal Effusion ◽  
Extrahepatic Biliary Obstruction

An 11-year-old male castrated domestic shorthair cat was presented for evaluation due to clinical deterioration and potential extrahepatic biliary obstruction (EHBO). Further investigations confirmed EHBO and revealed severe and previously unreported comorbidities. On initial examination, the cat was markedly icteric with a poor body condition score and severe muscle wasting. Serum chemistry and complete blood count showed evidence of cholestasis and anemia. Primary diagnostics and therapeutics targeted these abnormalities. Abdominal ultrasound revealed peritoneal effusion, multifocal mixed echogenic hepatic and splenic foci, small intestinal thickening, cholelithiasis, choledocholithiasis, and common bile duct and pancreatic duct dilation with evidence of obstruction. Peritoneal effusion cytology confirmed septic peritonitis. Hepatic and splenic cytology was consistent with lymphoma. Based on these results, euthanasia was elected by the owners of the animal. Necropsy confirmed the ultrasound diagnoses, septic peritoneal effusion associated with a duodenal perforation, multiorgan lymphoma, and common bile duct carcinoma. Flow cytometry classified the lymphoma as a double-negative phenotype of T-cell lymphoma (CD3+ and CD5+, but CD4- and CD8-) present in the duodenum and liver and suspected in the spleen which has previously not been reported in cats. This case report documents a cat with EHBO caused by multiple disease processes including a novel T-cell lymphoma phenotype, biliary carcinoma, duodenal perforation and septic abdomen, and choleliths, as well as inflammatory hepatobiliary disease.

Duodenal ganglioneuromatosis causing common bile duct obstruction in a dog

2019 ◽  
Vol 7 (3) ◽  
pp. e000801
Author(s):  
Pauline Deprez ◽  
Jean-Guillaume Grand ◽  
Nathaniel Harran
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Obstruction ◽  
Ganglion Cells ◽  
Exploratory Laparotomy ◽  
Intestinal Wall ◽  
Abdominal Ultrasonography ◽  
Extrahepatic Biliary Obstruction ◽  
The Common ◽  
Intestinal Ganglioneuromatosis

A 3-year-old intact female labrador retriever dog was presented for anorexia, weight loss and vomiting. Abdominal ultrasonography revealed a mass of the descending duodenum involving the major duodenal papilla with loss of the normal intestinal wall layering. The distal part of the common bile duct was circumferentially thickened obliterating its lumen and causing extrahepatic biliary obstruction. Exploratory laparotomy was undertaken, total descending duodenum excision with gastrojejunostomy, cholecystojejunostomy and pancreaticojejunostomy procedures were performed. The dog died 3 days postoperatively. Histopathological and immunohistochemistry examinations of the specimens from the duodenectomy demonstrated multinodular to diffuse intestinal ganglioneuromatosis. This is the first reported case of an intestinal ganglioneuromatosis, a rare hyperplastic proliferation of ganglion cells and nerves of the enteric autonomic nervous system, involving the duodenum and causing extrahepatic biliary obstruction.

scholarly journals Usefulness of Endoscopic Managements in Patients with Ceftriaxone-Induced Pseudolithiasis Causing Biliary Obstruction

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Yasuhiro Doi ◽  
Yasushi Takii ◽  
Hiroyuki Ito ◽  
Norihiko Jingu ◽  
Kentaro To ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Acute Cholangitis ◽  
Biliary Stones ◽  
Endoscopic Retrograde ◽  
Biliary Pseudolithiasis ◽  
Similar Incidence

Ceftriaxone (CTRX) is known to cause reversible biliary stones/sludge, which is called biliary pseudolithiasis. We report two rare cases of biliary obstruction by pseudolithiasis shortly after completing CTRX treatment. Stones and sludge, which had not been detected before CTRX administration, appeared in the gallbladder and common bile duct and led to biliary obstruction and acute cholangitis. The obstructions were successfully treated with endoscopic retrograde biliary drainage and endoscopic sphincterotomy. CTRX-induced biliary pseudolithiasis has been reported mainly in children and adolescents but is also seen in adults with similar incidence rate. Although CTRX-induced biliary pseudolithiasis is usually asymptomatic and disappears spontaneously after discontinuing the drug, some patients develop biliary obstruction. Endoscopic managements should be considered in such cases.

Cholangioscopy using the SpyGlass System for a Rare Cause of Obstruction: Inflammatory Polyp of the Common Bile Duct

2017 ◽  
Vol 26 (2) ◽  
pp. 111 ◽  
Author(s):  
Theodor Voiosu ◽  
Monica Ionita ◽  
Andrei Voiosu ◽  
Andreea Bengus ◽  
Cristiana Popp ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Inflammatory Polyp ◽  
The Common

.

scholarly journals Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

2021 ◽  
Vol 5 (02) ◽  
pp. 127-130
Author(s):  
Kazuki Matsushita ◽  
Ken Kageyama ◽  
Natsuhiko Kameda ◽  
Yurina Koizumi ◽  
Akira Yamamoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Transarterial Chemoembolization ◽  
Tumor Invasion ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Intraductal Tumor ◽  
Bile Duct Invasion ◽  
The Common

AbstractHepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

Reappraisal of safety of endoscopic sphincterotomy for common bile duct stones in the elderly

1995 ◽  
Vol 170 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Georgi P Deenitchin ◽  
Hiroyuki Konomi ◽  
Hiroshi Kimura ◽  
Yoshiaki Ogawa ◽  
Gen Naritomi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Common Bile Duct Stones ◽  
The Elderly ◽  
Bile Duct Stones
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