scholarly journals Hepatoblastoma in an Adult with Biliary Obstruction and Associated Portal Venous Thrombosis

HPB Surgery ◽  
1995 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Lav K. Kacker ◽  
E. M. Khan ◽  
Rohit Gupta ◽  
V. K. Kapoor ◽  
Rakesh Pandey ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Biliary Obstruction ◽  
Preoperative Diagnosis ◽  
Acute Cholangitis ◽  
Young Female ◽  
Tumor Mass ◽  
Vein Thrombosis ◽  
Portal Venous Thrombosis

We present a case of adult hepatoblastoma. This young female presented with severe acute cholangitis. Preoperative diagnosis was common bile duct (CBD) obstruction with portal vein thrombosis. On exploration she had a tumor mass in the CBD. The unusual features of this case are discussed in this report.

scholarly journals Mirizzy syndrome complicated by acute cholangitis in pregnant

2020 ◽  
Vol 25 (1) ◽  
pp. 124-128
Author(s):  
A. V. Osipov ◽  
A. E. Demko ◽  
D. A. Surov ◽  
I. A. Soloviev ◽  
A. V. Sviatnenko ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Surgical Procedure ◽  
Biliary Obstruction ◽  
Acute Cholangitis ◽  
The Common

A case report of the patient at week 21 of pregnancy with Mirizzi type 2 syndrome complicated by acute cholangitis is described. During the examination, the level and cause of the biliary obstruction (cholecystocholedocheal fistula and gallstone of the common bile duct) were revealed. A detailed description of the surgical procedure is presented: subtotal laparoscopic cholecystectomy, choledochotomy, choledochoscopy, lithoextraction, drainage of the common bile duct. The analysis of information from literature sources is carried out.

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.

scholarly journals A case report of portal vein thrombosis and common bile duct compression in the patient having pseudocyst of pancreas and its management by percutaneous trans-hepatic biliary drainage

2021 ◽  
Vol 8 (5) ◽  
pp. 1643
Author(s):  
Aafrin S. Baldiwala ◽  
Rajesh G. Chandnani
Keyword(s):  
Acute Pancreatitis ◽  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Venous Thrombosis ◽  
Clinical Presentation ◽  
Common Complication ◽  
Vein Thrombosis ◽  
Head Of Pancreas

Pancreatitis is a systemic disease owing to release of inflammatory mediators and digestive enzymes. Acute pancreatitis is sudden inflammation of the pancreas. Alcohol and gallstones are main cause of acute pancreatitis. Chronic pancreatitis is the persistent inflammation and irreversible fibrosis associated with atrophy of pancreatic parenchyma. There are various complications associated with pancreatitis such as strictures, pancreatic necrosis, pseudo-cyst of pancreas, pancreato-cutaneous fistulas, venous thrombosis, arterial aneurysm in various arteries around pancreas etc. Common bile duct (CBD) strictures are a common complication in patients with advanced chronic pancreatitis and have a variable clinical presentation ranging from an incidental finding to overt jaundice and cholangitis. CBD strictures occur as a consequence of recurrent acute inflammatory episodes which may ultimately result in a periductal fibrotic stricture. CBD can be compressed as a result of extrinsic compression by large pseudocyst or aneurysm. The diagnosis is mostly made during investigations for abdominal pain but jaundice may be the initial clinical presentation. The jaundice is typically transient but may be recurrent with a small risk of secondary biliary cirrhosis in longstanding cases. Vascular complications in chronic pancreatitis are rare. Venous thrombosis is the most common complication of pancreatitis affecting venous system. It occurs as consequences of an inflammatory mass in head of pancreas, and splenic vein thrombosis occurs in association with chronic pancreatitis in 4-8% cases. Present case is a case of acute pancreatic collection in head of pancreas with aneurysmal small bleeding causing complete CBD compression and extensive venous thrombosis involving superior mesenteric vein, portal vein, splenic.

scholarly journals Mass-Like Extreme Wall Thickening of the Entire Common Bile Duct in a Case of Portal Cavernoma Cholangiopathy

2021 ◽  
Author(s):  
Veeraraghavan Gunasekaran ◽  
Supraja Laguduva Mohan ◽  
Sunitha Vellathussery Chakkalakkoombil ◽  
Kuppusamy Senthamizhselvan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Wall Thickening ◽  
Imaging Features ◽  
Biliary Pain ◽  
Immunoglobulin G4 ◽  
Vein Thrombosis ◽  
Portal Cavernoma

AbstractPortal cavernoma cholangiopathy (PCC) refers to the cholangiographic abnormalities that occur in patients with portal cavernoma. These abnormalities may be either due to chronic portal vein thrombosis or extrahepatic portal vein occlusion. These abnormalities occur due to enlargement of the bridging tortuous paracholedochal, epicholedochal, and cholecystic veins exerting pressure on the bile ducts. Ischemic changes can also occur in the bile duct due to portal vein thrombosis, which affects the microvascular circulation or associated hepatic artery thrombosis. These may be either reversible with shunt procedures such as transjugular intrahepatic portosystemic shunt (TIPS) or irreversible in the advanced stage, leading to recurrent episodes of biliary pain, cholangitis, and cholestasis. Occasionally it may present as mass-like diffuse common bile duct (CBD) wall thickening, which may be confused with mimickers like primary CBD lymphoma, immunoglobulin G4-related sclerosing cholangitis, and even cholangiocarcinoma on imaging. Thus, we need to be aware of the mass-forming PCC imaging findings to avoid unnecessary invasive procedures like biopsy or surgical intervention. Here, we present a case of PCC, which presented as mass-like diffuse CBD wall thickening with patent lumen on ultrasound that led to further workup with contrast-enhanced computed tomography and magnetic resonance imaging. The wall thickening showed persistent delayed enhancement, no significant diffusion restriction, and there was also associated superior mesenteric vein thrombosis with multiple mesenteric collaterals. A positron emission tomography-CT scan also ruled out malignant disease as there was no uptake. Finally, a diagnosis of mass-forming PCC was made by combining imaging features and excluding other causes.

Vascular Biliopathy as a Cause of Common Bile Duct Obstruction Successfully Treated by Mesocaval Shunt and Endoscopic Retrograde Cholangiopancreatography Biliary Stent Placement

Vascular ◽  
2008 ◽  
Vol 16 (6) ◽  
pp. 356-358 ◽  
Author(s):  
Martin D. Rosenthal ◽  
Geoffrey H. White ◽  
Michael S. Stephen ◽  
James J. Gallagher ◽  
Charbel Sandroussi
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Stent Placement ◽  
Endoscopic Retrograde ◽  
Duct Obstruction ◽  
Mesocaval Shunt ◽  
Vein Thrombosis ◽  
Cavernous Transformation ◽  
Common Bile Duct Obstruction

Common bile duct stenosis owing to extrahepatic portal varices is termed “portal hypertensive biliopathy” (PHB) and is a rare occurrence. We report a case of PHB owing to portal vein thrombosis with cavernous transformation successfully managed by mesocaval shunt and endoscopic retrograde cholangiopancreatography (ERCP) biliary stent placement. A 44-year-old male, who presented with hematemesis, melena, jaundice, and abdominal pain, underwent gastroscopy, which revealed bleeding gastric varices. Computed tomography with arterial and venous imaging demonstrated portal vein thrombosis with cavernous transformation and extensive extrahepatic varices within the porta hepatis causing common bile duct obstruction from extrinsic compression. Biliary decompression was achieved with ERCP, and a small common bile duct stone was retrieved. A mesocaval shunt with a 16 mm Dacron graft successfully treated the portal hypertension. PHB is rare. We report a case successfully treated by mesocaval shunt and ERCP.

Subtypes and clinical significance of common bile duct varices in portal vein thrombosis: diagnosis and follow-up by Doppler US and EUS

2016 ◽  
Vol 41 (3) ◽  
pp. 476-484 ◽  
Author(s):  
Ivica Grgurevic ◽  
Milan Kujundzic ◽  
Marko Banic ◽  
Rajko Kusec ◽  
Tomislav Bokun ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Clinical Significance ◽  
Vein Thrombosis ◽  
Doppler Us

Compression of the common bile duct due to portal-vein thrombosis in polycythemia vera

Hepatology ◽  
1993 ◽  
Vol 17 (4) ◽  
pp. 586-592 ◽  
Author(s):  
J. Matthias Löhr ◽  
Stefan Kuchenreuter ◽  
Hans Grebmeier ◽  
Eckhardt G. Hahn ◽  
Wolfgang E. Fleig
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Polycythemia Vera ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
The Common

Hemobilia due to a portal vein to common bile duct fistula from a seatbelt injury

2016 ◽  
Vol 81 (4) ◽  
pp. 802-804 ◽  
Author(s):  
Dieter G. Weber ◽  
Amyn Pardhan ◽  
Sudhakar V. Rao ◽  
H. Leon Pachter
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein
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