scholarly journals Pneumoperitoneum after Endoscopic Retrograde Cholangiopancreatography due to Rupture of Intrahepatic Bile Ducts and Glisson’s Capsule in Hepatic Metastasis: A Case Report and Review of Literature

2017 ◽  
Vol 11 (3) ◽  
pp. 603-609
Author(s):  
Zubair Khan ◽  
Umar Darr ◽  
Mohamad Nawras ◽  
Muhammad Bawany ◽  
Jacob Bieszczad ◽  
...  
Keyword(s):  
Case Report ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Hepatic Metastasis ◽  
Bile Ducts ◽  
Pancreatic Neuroendocrine Tumor ◽  
Duodenal Perforation ◽  
Metallic Stent ◽  
Endoscopic Retrograde ◽  
Intrahepatic Bile Ducts ◽  
Covered Metallic Stent

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) has been proven to be a safe and effective method for diagnosis and treatment of biliary and pancreatic disorders. Major complications of ERCP include pancreatitis, hemorrhage, cholangitis, and duodenal perforation. We report a third case in literature of pneumoperitoneum after ERCP due to rupture of intrahepatic bile ducts and Glisson’s capsule in a peripheral hepatic lesion. Case Report: A 50-year-old male with a history of metastatic pancreatic neuroendocrine tumor and who had a partially covered metallic stent placed in the biliary tree 1 year ago presented to the oncology clinic with fatigue, abdominal pain, and hypotension. He was planned for ERCP for possible cholangitis secondary to obstructed previously placed biliary stent. However, the duodenoscope could not be advanced to the level of the major papilla because of narrowed pylorus and severely strictured duodenal sweep. Forward-view gastroscope was then passed with careful manipulation to the severely narrowed second part of the duodenum where the previously placed metallic stent was visualized. Balloon sweeping of stenting was done. Cholangiography did not show any leak. Following the procedure, the patient underwent CT scan of the abdomen that showed pneumoperitoneum which was communicating with pneumobilia through a loculated air collection in necrotic hepatic metastasis perforating Glisson’s capsule. The patient was managed conservatively. Conclusion: In our case, pneumoperitoneum resulted from rupture of intrahepatic bile ducts and Glisson’s capsule in hepatic metastasis. This case emphasizes the need for close clinical and radiological observation of patients with hepatic masses (primary or metastatic) subjected to ERCP.

scholarly journals Endoscopic Ultrasound-Guided Biliary Drainage Using a Fully Covered Metallic Stent after Failed Endoscopic Retrograde Cholangiopancreatography

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Jintao Guo ◽  
Siyu Sun ◽  
Xiang Liu ◽  
Sheng Wang ◽  
Nan Ge ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Clinical Success ◽  
Metallic Stent ◽  
Endoscopic Retrograde ◽  
Primary Tumors ◽  
Covered Metallic Stent

Background and Study Aims.Endoscopic ultrasound- (EUS-) guided biliary drainage (EUS-BD) is an alternative treatment for biliary obstruction after failed endoscopic retrograde cholangiopancreatography (ERCP). In this study, we present the outcomes of inpatients with obstructive jaundice treated with EUS-BD using a fully covered metallic stent after failed ERCP.Patients and Methods.A total of 21 patients with biliary obstruction due to malignant tumors and prior unsuccessful ERCP underwent EUS via an intra- or extrahepatic approach with fully covered metallic stent between March 2014 and October 2015. A single endoscopist performed all procedures.Results.Seven patients underwent hepatogastrostomy (HGS) and 14 underwent choledochoduodenostomy (CDS). The technical and clinical success rates were both 100%. There was no difference in efficacy between HGS and CDS. Adverse events occurred in three patients, including two in the HGS group (1 bile leakage and 1 sepsis) and one in the CDS group (sepsis). Four patients died as a result of their primary tumors during a median follow-up period of 13 months (range: 3–21 months). No patient presented with stent migration.Conclusion.EUS-BD using a fully covered metallic stent appears to be a safe and effective method for the treatment of obstructive jaundice.

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 LAPAROSCOPIC CHOLEDOCH REVISION FOR THE TREATMENT OF CHOLEDOCHOLITHIASIS IN AN INFANT

2019 ◽  
Vol 23 (4) ◽  
pp. 220-223
Author(s):  
M. Yu. Kozlov ◽  
Anton S. Malashenko ◽  
A. A. Shchebeteev
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Bile Ducts ◽  
Open Abdomen ◽  
Unified Approach ◽  
Endoscopic Retrograde ◽  
Surgical Practice ◽  
Percutaneous Puncture ◽  
The Common

Choledocholithiasis is a rare pathology in children. Various techniques have been proposed for removing calculi from the common bile duct: percutaneous puncture drainage of bile ducts, endoscopic retrograde cholangiopancreatography with papillosphincterotomy as well as revision of the common bile duct which can be done laparoscopically or in the open abdomen. However at present, there is no any unified approach to managing this pahtology in children. The article describes authors’ experience of laparoscopic revision of the common bile duct in an infant with choledocholithiasis. The authors consider that this technique can be applied in pediatric surgical practice.

scholarly journals Hepatic Hydatid cyst Cystobiliary Communication, Case Report & Literature Review

2020 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Hallal Mahmoud ◽  
◽  
Mroue Ahmad ◽  
Kayal Mira ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Obstructive Jaundice ◽  
Hydatid Cyst ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Hydatid Cysts ◽  
Hepatic Hydatid Cyst ◽  
Endoscopic Retrograde ◽  
Surgical Treatments ◽  
Hepatic Hydatid

Hepatic hydatid cysts are benign cysts in the liver that are the result of parasites infection. They are caused by echinoccocus granulosis or multilocularis. They caused several symptoms like pain, obstructive jaundice, and sepsis. Hydatid cyst can be complicated to cystobiliary communication (CBC) which can be frank CBC or occult CBC. Medical, endoscopic, percutaneous and surgical treatments are different approaches to treat hydatid cyst. Here we report a case of hepatic hydatid cyst with cystobiliary communication, causing obstructive jaundice and treated with sphincterotomy and insertion of biliary stent through endoscopic retrograde cholangiopancreatography (ERCP).

scholarly journals Rendezvous for afferent limb syndrome

2020 ◽  
Vol 2 (9) ◽  
pp. 01-04
Author(s):  
Ivan Mendez
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Stent Placement ◽  
Whipple Procedure ◽  
Metallic Stent ◽  
Biliary Anatomy ◽  
Endoscopic Retrograde ◽  
Afferent Limb ◽  
Rendezvous Technique ◽  
Metallic Stent Placement

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgical alterations in the normal biliary anatomy is technically challenging. We describe the case of a 73-year-old patient with an afferent limb syndrome secondary to a Whipple procedure for pancreatic cancer, in which a percutaneous rendezvous technique assisted in the endoscopic metallic stent placement with favorable outcome.

scholarly journals Diffuse Oligosymptomatic Caroli’s Disease: Case Report

2020 ◽  
Vol 31 (2) ◽  
pp. 107-110
Author(s):  
Lemfadli Y ◽  
Bouchrit S ◽  
Ait Errami A ◽  
Oubaha S ◽  
Samlani Z ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Bile Ducts ◽  
Clinical Case ◽  
Caroli's Disease ◽  
Caroli’S Disease ◽  
Caroli Disease ◽  
Intrahepatic Bile Ducts ◽  
Disease Case

This article describes a case of Caroli’s disease in a 53-year-old female patient who complained nonspecificabdominal pain without cholestasis or cholangitis. Ultrasound and hepatic magnetic resonanceimaging showed segmental saccular dilations connected to intrahepatic bile ducts without hepaticfibrosis. This clinical case shows the possibility of having oligosymptomatic forms in the diffuse formsof Caroli disease, therefore the interest to consider this diagnosis in case of non-specific abdominalsigns and to request a hepatic ultrasound. Bangladesh J Medicine July 2020; 31(2) : 107-110

Sign in / Sign up

Export Citation Format

Share Document