scholarly journals Successful Treatment of Postoperative External Biliary Fistula by Selective Nasobiliary Drainage

HPB Surgery ◽  
1992 ◽  
Vol 6 (2) ◽  
pp. 115-124 ◽  
Author(s):  
C. Vagianos ◽  
A. Polydorou ◽  
T. Karatzas ◽  
C. Vagenas ◽  
M. Stavropoulos ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Successful Treatment ◽  
Endoscopic Sphincterotomy ◽  
Hepatic Duct ◽  
Biliary Fistula ◽  
Alternative Technique ◽  
Residual Cavity ◽  
Nasobiliary Drainage ◽  
High Output

A 25-year old man presented with a high output external biliary fistula after an operation for a giant hydatid cyst of the liver. Endoscopic sphincterotomy was inadequate to close the fistula. A nasobiliary tube was selectively inserted into the leaking hepatic duct and bile was continuously aspirated. The fistula and the residual cavity healed completely. Details of the patients' management using this alternative technique, are discussed.

scholarly journals Nasobiliary Drainage

1990 ◽  
Vol 4 (9) ◽  
pp. 588-592
Author(s):  
Paul Kortan
Keyword(s):  
Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Biliary Tree ◽  
Biliary Fistula ◽  
Pancreatic Pseudocysts ◽  
Therapeutic Modalities ◽  
Biliary Malignancies ◽  
Teflon Catheter ◽  
Nasobiliary Drainage ◽  
Suppurative Cholangitis

Placement of nasobiliary tubes has now become a widely accepted method for therapeutic drainage and instillation of solvents into the biliary tree. The author routinely uses a 300 cm long, 7 or 10 French, specially performed Teflon catheter, which adapts to the anatomy of the duodenum and bile ducts, for the following indications: decompression of obstructed bile duct in acute suppurative cholangitis; prevention of stone impaction after endoscopic sphincterotomy; sequential cholangiography; biliary fistula; instillation of solvents for common bile duct scones; local radiotherapy of biliary malignancies; aspiration of bile for chemical and bacteriological studies; and drainage of pancreatic pseudocysts. Pancreatic or biliary drains should supplement traditional diagnostic and therapeutic modalities in patients with surgical or medical lesions of the pancreas and biliary tree.

scholarly journals A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Hirao ◽  
HiroHisa Okabe ◽  
Daisuke Ogawa ◽  
Daisuke Kuroda ◽  
Katsunobu Taki ◽  
...  
Keyword(s):  
Cystic Duct ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Endoscopic Retrograde ◽  
Case Presentation ◽  
Endoscopic Nasobiliary Drainage ◽  
Subtotal Cholecystectomy ◽  
Upper Abdominal ◽  
The Right ◽  
Nasobiliary Drainage

Abstract Background Laparoscopic cholecystectomy is a well-established surgical procedure and is one of the most commonly performed gastroenterological surgeries. Therefore, strategy for the management of rare anomalous cystic ducts should be determined. Case presentation A 56-year-old woman was admitted to our hospital owing to upper abdominal pain and diagnosed with acute cholecystitis. Magnetic resonance cholangiopancreatography suspected that several small stones in gallbladder and the right hepatic duct drained into the cystic duct. Endoscopic retrograde cholangiopancreatography confirmed the cystic duct anomaly, and an endoscopic nasobiliary drainage catheter (ENBD) was placed at the right hepatic duct preoperatively. Intraoperative cholangiography with ENBD confirmed the place of division in the gallbladder, and laparoscopic subtotal cholecystectomy was safely performed. Conclusions The present case exhibited rare right hepatic duct anomaly draining into the cystic duct, which might have caused biliary tract disorientation and bile duct injury (BDI) intraoperatively. Any surgical technique without awareness of this anomaly preoperatively might insufficiently prevent BDI, and preoperative ENBD would facilitate safe and successful surgery.

Comparison of Endoscopic Therapeutic Modalities for Postoperative Biliary Fistula of Liver Hydatid Cyst

2010 ◽  
Vol 20 (4) ◽  
pp. 223-227 ◽  
Author(s):  
Gokhan Adas ◽  
Soykan Arikan ◽  
Emin Gurbuz ◽  
Servet Karahan ◽  
Bahar Eryasar ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Biliary Fistula ◽  
Liver Hydatid Cyst ◽  
Therapeutic Modalities

scholarly journals A rare case of hydatid cyst of the interventricular septum

2020 ◽  
Vol 8 (5) ◽  
pp. 1894
Author(s):  
Monila Patel ◽  
Rafe Khan ◽  
Ruchir Dave ◽  
Jyoti Vora ◽  
Sneha Shah ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Successful Treatment ◽  
Interventricular Septum ◽  
Ventricular Septum ◽  
Contractile Property ◽  
Cestode Species ◽  
Unique Case ◽  
Definite Host ◽  
Cardiac Manifestation ◽  
Treatment And Diagnosis

A Hydatid disease or Echinococcosis is a zoonotic disease caused by the larvae (metacestode) of the cestode species of the genus Echinococcus. Humans are the accidental hosts of the diseases; they usually acquire it from canines; which are the definite host. It can present with systemic cyst, while cardiac manifestation of the disease is rare, due to contractile property of the heart’s muscle fiber which provide resistance. In this case report, the patient is diagnosed with hydatid cyst in the inter ventricular septum; it’s diagnosis and its successful treatment with surgery and albendazole. As, inter ventricular septum hydatid cyst occurs in only 0.5-2% cases, it’s a unique case and its successful treatment and diagnosis can help the physicians in the future to treat a similar case as this.

scholarly journals Primary hydatid cyst of the psoas adherent to the aortoiliac axis: a real therapeutic challenge

2021 ◽  
Vol 7 (7) ◽  
pp. 363
Author(s):  
Anwar Rahali ◽  
Rahal Mssrouri ◽  
Marouane Baiss ◽  
Abderrahmane Mansouri ◽  
Hamid Mohamed ◽  
...  
Keyword(s):  
Literature Review ◽  
Hydatid Cyst ◽  
Rare Case ◽  
Essential Role ◽  
Histological Analysis ◽  
Clinical Presentation ◽  
Atypical Clinical Presentation ◽  
Residual Cavity ◽  
Primary Hydatid Cyst

<p class="abstract">Hydatidosis of the psoas is an unusual entity even in countries endemic to hydatid disease. We reported a rare case of hydatid cyst of psoas in a 54 year old man without pathological history. The atypical clinical presentation and the uncharacterizable radiology have demonstrated the essential role of surgery and histological analysis in the management of this type of lesion. The patient underwent a resection of the protruding dome with drainage of the residual cavity  because of the anatomical relationships of this hydatid cyst. Through this case and literature review, we aimed to discuss the diagnostic means, the natural course of the disease, the differential diagnoses as well as the therapeutic options for a hydatid cyst of the psoas.</p>

scholarly journals Recurrence of Primary Pulmonary Hydatidosis in the Left Lung with No Hepatic Involvement

2021 ◽  
Vol 10 (10) ◽  
pp. 746-748
Author(s):  
Roshani S. Manekk ◽  
Aditya Mehta
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Left Lung ◽  
Duodenal Wall ◽  
Hepatic Involvement ◽  
Mediterranean Countries ◽  
Infected Cyst ◽  
Pulmonary Cysts ◽  
Residual Cavity ◽  
Hepatic Lesions

Echinococcus granulosus is the most common cause of hydatid disease of the lung. Hydatid disease is endemic to the Mediterranean countries, Middle East, South America and Australia. After liver, lung is the 2nd most common organ involved in this disease.1 The main route of infection is infestation of the embryo which after passing through the duodenal wall enters into the portal vein or the peri duodenal and perigastric lymphatics. The pulmonary cysts develop through this route, secondary to hepatic lesions. 1 Pulmonary hydatidosis is most commonly seen in men during the 2nd and 3rd decades of life. An intact cyst can be defined as “simple or closed cyst”, and a ruptured and / or infected cyst“ can be defined as “complicated cyst”.2 Recurrence has been defined as new active cysts appearing after therapy, which includes reappearance with continual growth of live cysts at the site of a previously treated cyst or new distant disease appearing as a result of spillage.3 The diagnosis of hydatid cyst diagnosis is often delayed because patients are asymptomatic for years during the period of growth of the parasite.2 Surgical goals in a case of hydatid cyst are: A - total eradication of the parasite; B - the prevention of the cyst 's rupturing on the operative field and its consequent dissemination; and C - the extirpation of the residual cavity.4 In this article, we report a rare case of male patient with multiple daughter cysts in the left lung at pleura-parenchymal junction and mediastinum who presented to us with recurrent pulmonary hydatidosis, which has caused complication of expectoration of multiple daughter cyst of small size.

scholarly journals Abdominal pain caused by a giant liver hydatid cyst and the management of the residual cavity in a tertiary public hospital in Greece

2019 ◽  
Vol 34 ◽  
Author(s):  
Athanasios Syllaios ◽  
Dimitrios Schizas ◽  
Antonios Koutras ◽  
Prokopis-Andreas Zotos ◽  
Spyridon Davakis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Public Hospital ◽  
Liver Hydatid Cyst ◽  
Residual Cavity
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