scholarly journals Endoscopic and Surgical Management of Intrabiliary Rupture of Hydatid Liver Cyst

1992 ◽  
Vol 6 (3) ◽  
pp. 135-139 ◽  
Author(s):  
Sebastian Leong ◽  
Young-In Kim ◽  
Robin Gray ◽  
Paul Kortan ◽  
Gregory Haber
Keyword(s):  
Surgical Management ◽  
Biliary Obstruction ◽  
Bile Ducts ◽  
Biliary Tree ◽  
Liver Cyst ◽  
Endoscopic Management ◽  
Endoscopic Retrograde ◽  
Intrabiliary Rupture ◽  
Definitive Surgery ◽  
Cyst Rupture

A man with hydatid disease complicated by intraabdominal cyst rupture 15 years earlier, presented with cholestatic jaundice. There was intrabiliary rupture of a hydatid liver cyst on endoscopic retrograde cholangiography. Sphincterotomy was performed allow clearance of hydatid material obstructing the bile ducts and insertion of a nasobiliary catheter for irrigation and drainage. Definitive surgery was performed. While endoscopic management is gaining recognition for relieving biliary obstruction in hydatid cystobiliary rupture, surgery is still required for patients who continue to pass hydatid debris obstructing the biliary tree and increasing the risk of cholangitis.

scholarly journals Rare Biliary Anatomy in Two Patients Presenting with Biliary Obstruction Diagnosed with ERCP

1991 ◽  
Vol 5 (5) ◽  
pp. 161-164
Author(s):  
Gary R May ◽  
David S Reid ◽  
Noel B Hershfield
Keyword(s):  
Cystic Duct ◽  
Incidental Findings ◽  
Biliary Obstruction ◽  
Biliary Tree ◽  
Stone Extraction ◽  
Biliary Anatomy ◽  
Endoscopic Retrograde ◽  
Potential Problems ◽  
Therapeutic Procedures ◽  
Rare Anatomic Variant

Anatomic anomalies of the exrrahepatic biliary tree are common and often incidental findings at endoscopic retrograde cholangiopancreatography; however, they rarely complicate therapeutic procedures such as stone extraction. The cases of two patients with biliary obstruction due to stones are presented, who were found to have the cystic duct a rising almost directly from the ampulla. This rare anatomic variant posed problems both in terms of interpretation of the cholangiogram and removal of stones. Therapeutic endoscopists should be aware of this and other anomalies of the biliary tract and of the potential problems faced in both interpretation of the cholangiogram and in therapeutic procedures.

scholarly journals Endoscopic Management of a Relapsing Hepatic Hydatid Cyst with Intrabiliary Rupture: A Case Report and Review of the Literature

2007 ◽  
Vol 21 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Andreas Manouras ◽  
Michael Genetzakis ◽  
Pantelis T Antonakis ◽  
Emmanuel Lagoudianakis ◽  
Michael Pattas ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Endoscopic Retrograde Cholangiography ◽  
Therapeutic Modality ◽  
Definitive Treatment ◽  
Public Health Issue ◽  
Endoscopic Management ◽  
Hepatic Hydatid Cyst ◽  
Endoscopic Retrograde ◽  
Intrabiliary Rupture ◽  
Hepatic Hydatid

Hydatid disease, although endemic mostly in sheep-farming countries, remains a public health issue worldwide, involving mainly the liver. Intrabiliary rupture is the most frequent complication of the hepatic hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate obstructive jaundice caused by intracystic materials after a frank rupture and is also a useful and well-established adjunct in locating postoperative biliary fistulas.Endoscopic retrograde cholangiography with sphincterotomy has been successful as the sole and definitive means of treatment of intra-biliary ruptured hydatid cysts. A case of an elderly woman with frank rupture is presented, where the rupture was definitively managed endoscopically in conjunction with sphincterotomy to remove the intrabiliary obstructive daughter cysts and to achieve decontamination of the biliary tree.Endoscopic retrograde cholangiography provided an excellent diagnostic and therapeutic modality in the present case and, thus, it should be considered as definitive treatment in similar cases especially if surgical risk is anticipated to be high.

scholarly journals Tomato peel: rare cause of biliary tract obstruction

2011 ◽  
Vol 152 (47) ◽  
pp. 1907-1910 ◽  
Author(s):  
Krisztina Hagymási ◽  
Zoltán Péter ◽  
Éva Csöregh ◽  
Emese Szabó ◽  
Zsolt Tulassay
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Biliary Obstruction ◽  
Foreign Bodies ◽  
Biliary Tree ◽  
Endoscopic Retrograde ◽  
Ductus Choledochus ◽  
History Of

Foreign bodies in the biliary tree are rare causes of obstructive jaundice. Food bezoars are infrequent as well. They can cause biliary obstruction after biliary tract interventions, or in the presence of biliary-bowel fistula or duodenum diverticulum. Food bezoars usually pass the gastrointestinal tract without any symptoms, but they can cause abdominal pain and obstructive jaundice in the case of biliary tract obstruction. Endoscopic retrograde cholangio-pancreatography has the major role in the diagnosis and the treatment of the disease. Authors summarize the medical history of a 91-year-old female patient, who developed vomiting and right subcostal pain due to the presence of tomato peel within the ductus choledochus. Orv. Hetil., 2011, 152, 1907–1910.

scholarly journals Controversy in the Management of Cholangitis Secondary to Hydatid Daughter Cysts

HPB Surgery ◽  
1991 ◽  
Vol 4 (4) ◽  
pp. 321-329 ◽  
Author(s):  
Brian Davidson ◽  
T. Ezaki ◽  
Nagy Habib
Keyword(s):  
Bile Duct ◽  
Biliary Tree ◽  
Liver Cyst ◽  
Uneventful Recovery ◽  
Liver Cysts ◽  
Intrabiliary Rupture ◽  
Right Lobe ◽  
Upper Abdominal ◽  
The Right

A 36 year old Cypriot woman, resident in the U.K. since the age of three years, presented with pyrexia, jaundice and upper abdominal pain. On ultrasound examination the biliary tree was dilated, contained sludge and a cystic lesion was present in the liver. An endoscopic cholangiogram showed multiple filling defects in the bile duct which were not felt to be removable endoscopically and a nasobiliary drain was therefore inserted. On resolution of the cholangitis with drainage and antibiotics a laparotomy was performed. The right lobe of the liver was largely replaced by a multiloculated cyst and the bile duct contained multiple hydatid daughter cysts. A right hepatectomy was performed with t-tube drainage of the evacuated bile duct. She made an uneventful recovery and has had no problems on subsequent follow up. Histology confirmed an intrabiliary rupture of a hydatid liver cyst.Cholangitis secondary to daughter cysts is a rare but recognised complication of hydatid liver cysts. Management of hydatid liver cysts by formal resection is controversial but may be preferable in this situation.

scholarly journals Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Biliary Obstruction ◽  
Abdominal Ultrasound ◽  
Sporadic Case ◽  
Gallbladder Wall ◽  
Liver Cyst ◽  
Biliary Duct ◽  
Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

scholarly journals Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP

1994 ◽  
Vol 8 (1) ◽  
pp. 33-35
Author(s):  
Noel B Hershfield
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Biliary Tree ◽  
Usual Method ◽  
Endoscopic Retrograde ◽  
The Common ◽  
A Minor ◽  
Endoscopic Fistulotomy

Endoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistulotomy or the suprapapillary punch that has been carried out at the Foothills Hospital in Calgary, Alberta, on 30 of 623 patients referred for ERCP for conditions causing obstruction of the common bile duct or suspected obstruction of the common bile duct. The following communication also describes the method of suprapapillary punch or endoscopic fistulotomy. Results have been excellent with only one complication, a minor attack of pancreatitis after the procedure. In summary, the suprapapillary punch or fistulotomy is a safe and useful method for entering the common bile duct when access by the usual method is impossible.

scholarly journals Single Balloon Enteroscopy for Endoscopic Retrograde Cholangiography in a Patient with Hepaticojejunostomy after Liver Transplant

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Marta Di Pisa ◽  
Roberto Miraglia ◽  
Riccardo Volpes ◽  
Salvatore Gruttadauria ◽  
Mario Traina
Keyword(s):  
Small Bowel ◽  
Liver Transplant ◽  
Transplant Patient ◽  
Biliary Tree ◽  
Endoscopic Retrograde ◽  
Balloon Enteroscopy ◽  
Post Transplant ◽  
Biliary Anastomosis ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

We report a case of a post-transplant patient with hepaticojejunostomy in whom we used a single balloon enteroscopy to access the biliary tree. This procedure seems to be safe and feasible for approaching the biliary anastomosis by means of the overtube and fixation of the small bowel by the balloon.

scholarly journals Improved Visualization of Intrahepatic Bile Ducts by Endoscopic Retrograde Balloon Catheter Cholangiography

1981 ◽  
Vol 194 (2) ◽  
pp. 171-175 ◽  
Author(s):  
SEIYO IKEDA ◽  
MASAO TANAKA ◽  
HIDEO YOSHIMOTO ◽  
HIDEAKI ITOH ◽  
FUMIO NAKAYAMA
Keyword(s):  
Bile Ducts ◽  
Balloon Catheter ◽  
Endoscopic Retrograde ◽  
Intrahepatic Bile Ducts

scholarly journals Surgical Management of 552 Carcinomas of the Extrahepatic Bile Ducts (Gallbladder and Periampullary Tumors Excluded)

1991 ◽  
Vol 213 (3) ◽  
pp. 236-241 ◽  
Author(s):  
RAYMOND REDING ◽  
JEAN-LOUIS BUARD ◽  
GUY LEBEAU ◽  
BERNARD LAUNOIS
Keyword(s):  
Surgical Management ◽  
Bile Ducts ◽  
Periampullary Tumors ◽  
Extrahepatic Bile Ducts
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