scholarly journals The Internal Biliary Fistula – Reappraisal of Incidence, Type, Diagnosis and Management of 33 Consecutive Cases

HPB Surgery ◽  
1997 ◽  
Vol 10 (3) ◽  
pp. 143-147 ◽  
Author(s):  
Hiroyuki Yamashita ◽  
Kazuo Chijiiwa ◽  
Yoshiaki Ogawa ◽  
Syoji Kuroki ◽  
Masao Tanaka
Keyword(s):  
Elderly Patients ◽  
Malignant Tumors ◽  
Biliary Fistula ◽  
Brown Pigment ◽  
Biliary Stones ◽  
Internal Fistula ◽  
Duration Of Illness ◽  
Preoperative Diagnostic ◽  
Spontaneous Disappearance ◽  
Internal Biliary Fistula

To reevaluate the current features of spontaneous internal biliary fistulas, we reviewed 1,929 consecutive patients who had been treated for biliary tract diseases during the recent 12-year period. Thirty-three patients had internal biliary fistulas and the incidence was 1.9%. Of 33 patients, 20 were women and 13 were men with the average age 63 years, and their mean duration of illness was 4 years. A total of 37 fistulas were found and the most common type was choledochoduodenal (62%), followed by cholecystoduodenal (19%), cholecystocholedochal (11%) and cholecystocolonic (8%) fistulas. Internal biliary fistulas of thirty-one patients were caused by biliary stones and those of two patients by malignant tumors. All of the 17 bile samples examined were bacteria positive and the majority of calculi were brown pigment stones. All of the choledochoduodenal fistulas were correctly diagnosed by endoscopic retrograde cholangiography. In 14 patients with cholecystoenteric or cholecystocholedochal fistulas, direct evidence of the internal fistula was obtained only in 7 patients (50%) preoperatively. Pneumobilia, a small atrophic gallbladder adherent to the neighboring organs and a history of spontaneous disappearance of jaundice in elderly patients may indicate the presence of a cholecystoentric fistula. Since the preoperative diagnostic rate for internal biliary fistula involving the gallbladder is still low, care is necessary before and at the time of surgery especially during laparoscopic cholecystectomy for elderly patients with cholelithiasis.

Internal Biliary Fistula

JAMA ◽  
1962 ◽  
Vol 179 (3) ◽  
pp. 198 ◽  
Author(s):  
Mario A. Calonje
Keyword(s):  
Biliary Fistula ◽  
Internal Biliary Fistula

scholarly journals An elderly female patient with ROS1 rearrangement primary lung adenocarcinoma and breast carcinoma: a rare case report and review of the literature

2019 ◽  
Vol 2 (3) ◽  
pp. 197-203 ◽  
Author(s):  
Xiaojuan Yang ◽  
Diyuan Qin ◽  
Yu Zhang ◽  
Xue Li ◽  
Ning Liu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lung Cancer ◽  
Elderly Patients ◽  
Lung Adenocarcinoma ◽  
Female Patient ◽  
Malignant Tumors ◽  
Primary Lung Cancer ◽  
Lung Cancer Mortality ◽  
Anaplastic Lymphoma ◽  
Reduced Dose

Abstract We report the case of a 90-year-old female patient who was suffering from c-ros oncogene 1 (ros-1) rearrangement adenocarcinoma and breast cancer. After about 14 months of a reduced dose of crizotinib treatment, she had a stable disease according to the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1). This patient’s case demonstrates that ros-1 rearrangements are not limited to patients of young age. In addition, this case indicates that crizotinib, as second-line, or even first-line, treatment may be effective and manageable in elderly patients. Furthermore, for elderly patients carrying a ros1 fusion, a reduced dose of crizotinib may be efficacious rather than a resistance factor. Based on our findings, we recommend that elderly patients with advanced lung adenocarcinoma should be considered for inclusion in molecular screening for ros-1 translocation, especially for never-smokers negative for epidermal growth factor receptor (egfr) mutation and the fusion between echinoderm microtubule associated protein-like 4 (EML4) and anaplastic lymphoma kinase (ALK). This deserves attention because the population is aging, with increasing incidence and morbidity of multiple primary malignant tumors. Neglect of breast nodules at the onset is one of the limitations of our case, as combination of primary lung cancer with breast cancer is common. Above all, use of antiestrogens before and after the diagnosis of non-small-cell lung cancer is related to a reduced risk of lung cancer mortality. Therefore, careful attention should always be paid to these cases.

scholarly journals SPONTANEOUS INTERNAL BILIARY FISTULA

1982 ◽  
Vol 43 (2) ◽  
pp. 173-182 ◽  
Author(s):  
Hiromitsu FUKUNAGA ◽  
Yozo AOKI ◽  
Masaharu KATSUMI ◽  
Yuji KATSUBE ◽  
Yoshihiro KAMATA ◽  
...  
Keyword(s):  
Biliary Fistula ◽  
Internal Biliary Fistula

scholarly journals INTERNAL BILIARY FISTULA

1925 ◽  
Vol 81 (1) ◽  
pp. 305-312 ◽  
Author(s):  
Edward Starr Judd ◽  
Verne G. Burden
Keyword(s):  
Biliary Fistula ◽  
Internal Biliary Fistula

Controversial issues of clinical, laboratory and instrumental diagnostics of ovarian tumors of reproductive women (literature review)

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. 7-13
Author(s):  
Nataliia M. Podzolkova ◽  
Vasilii B. Osadchev ◽  
Kirill V. Babkov ◽  
Natalia E. Safonova
Keyword(s):  
Clinical Laboratory ◽  
Malignant Tumors ◽  
Reproductive Function ◽  
Ovarian Tumors ◽  
Diagnostic Measures ◽  
Early Stages ◽  
Modern Methods ◽  
Preoperative Diagnostic ◽  
Women Literature ◽  
The Individual

The problem of differential diagnostic of benign and malignant tumors in the early stages is one of the most significant in practical gynecology. Now clear criteria for the diagnosis and screening of ovarian tumors are not developed. Early stages of disease are asymptomatic and even when first symptoms appeared, patients often dont consult a doctor or doctor doesnt recommend surgical treatment preferring dynamic observation. Modern diagnostic of ovarian tumors cant be based on one method of research and requires a whole complex of diagnostic measures which determines the individual plan of treatment in each case. The most modern methods for studying are complex using of biomarkers, including creation mathematical risk models of ovarian tumor malignancy, based on instrumental and laboratory techniques. Despite on the successes in the detection of ovarian tumors, it is needed to study new modern methods of early preoperative diagnostic in different age periods, and especially those women who planes realize reproductive function.

A Clinical Approach to the Parapharyngeal Space

2017 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
AM Shivakumar ◽  
Praveen D Shivanandappa ◽  
Veena P Doddamane ◽  
KS Munish ◽  
BS Yogeesha
Keyword(s):  
Parapharyngeal Space ◽  
Malignant Tumors ◽  
Imaging Study ◽  
Needle Aspiration ◽  
Benign Tumors ◽  
Clinical Approach ◽  
Preoperative Diagnostic ◽  
Clinicopathological Profile ◽  
Needle Aspiration Cytology ◽  
Clinical Records

ABSTRACT Aim To present the clinicopathological profile, surgical management, and the outcome of parapharyngeal space (PPS) neoplasms in 14 patients. Materials and methods This is a retrospective review of the clinical records of 14 patients treated for PPS tumors. The age of patients ranged from 24 to 54 years, with female to male ratio of 1.3:1. The commonest clinical presentation was a slowgrowing, painless neck swelling. The preoperative protocol was based on: (1) imaging study to establish site, size, and anatomical relationships. (2) Fine-needle aspiration cytology (FNAC) was performed to determine the nature of the mass. Details of the management, morbidity, and outcome of these patients are presented. Results A total of 85.7% of the PPS neoplasms were benign and 14.2% were malignant. Majority of the benign tumors were of neurogenic origin. The histocytopathology confirmed 12 (85.7%) of these diagnoses (2 patients were with “nondiagnostic” result). The positive predictive value of the FNAC was 83.3% for benign tumors and 100% for malignant tumors. In 6 patients (60%), a transcervical surgery was performed. Three patients (30%) underwent transparotid–transcervical surgery for a pleomorphic adenoma of the deep lobe of the parotid gland in the prestyloid space and transcervical–transmandibular approach was taken in 1 case (10%). Postoperative complications occurred in 3 out of 10 patients (33.3%). Conclusion The results of our study are in agreement with other studies reported in the literature and confirm the need to follow a careful preoperative diagnostic protocol that must take advantage of imaging studies (computed tomography, magnetic resonance imaging) and of cytology FNAC, in order to plan surgical treatment with a safe approach and that reduces complications, esthetic and functional damage, and the risk of recurrence. How to cite this article Shivanandappa PD, Doddamane VP, Munish KS, Yogeesha BS, Shivakumar AM. A Clinical Approach to the Parapharyngeal Space. Int J Head Neck Surg 2017;8(1):1-4.

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