scholarly journals Pancreatic fistula through the distal common bile duct

2002 ◽  
Vol 130 (5-6) ◽  
pp. 201-203
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vesna Masirevic ◽  
Ljiljana Ivic
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Pancreatic Fistula ◽  
Pancreatic Juice ◽  
Gastric Artery ◽  
Distal Common Bile Duct ◽  
Life Threatening ◽  
The Common ◽  
The Right ◽  
High Output

Pancreatic fistula is usually caused by acute or chronic pancreatitis, injury and operations of the pancreas. The pancreatic juice comes either from the main pancreatic duct or from side branches. Extremely rare pancreatic fistula may come through the distal end of the common bile duct that is not properly sutured or ligated after traumatic or operative transaction. We present a 58-year old man who developed a life threatening high output pancreatic fistula through the distal end of the common bile duct that was simply ligated after resection for carcinoma. Pancreatic fistula was developed two weeks after original surgery and after two emergency reoperations for serious bleeding from the stump of the right gastric artery resected and ligated during radical limphadenectomy. The patient was treated conservatively by elevation of the drain- age bag after firm tunnel round the drain was formed so that there was no danger of spillage of the pancreatic juice within abdomen.

Mechanical jaundice caused by common bile duct obstruction due to hepato-biliary ascariasis

2021 ◽  
pp. 20-24
Author(s):  
Zaipula Zulbegovich Nazhmudinov ◽  
Abdulkamal Guseynovich Guseynov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Surgical Intervention ◽  
Duct Obstruction ◽  
Biliary Ascariasis ◽  
Modern Methods ◽  
Common Bile Duct Obstruction ◽  
The Common ◽  
The Right

The paper presents a case of successful surgical treatment of a patient with common bile duct ascariasis, which caused obstructive jaundice. Modern methods of examining a patient with obstructive jaundice did not allow to make the right diagnosis of the common bile duct ascariasis before surgical intervention. The rarity of this pathology arouses interest in this material.

scholarly journals Slip of the T tube within the common bile duct: A little known complication of the T tube drainage

2005 ◽  
Vol 133 (3-4) ◽  
pp. 138-141
Author(s):  
Radoje Colovic ◽  
Vladimir Radak ◽  
Nikica Grubor ◽  
Slavko Matic
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Tube Drainage ◽  
X Ray ◽  
Abdominal Drain ◽  
T Tube ◽  
Tube Position ◽  
Bile Drainage ◽  
The Common ◽  
The Right

Complications related to the T tube drainage of the common bile duct are not uncommon. Some, like dislocations of the T tube out of the common bile duct, could be very serious, particularly if developed during the first few days after surgery, when the abdominal drain in the subhepatic space had been already removed. Then, an emergency reoperation might be necessary. The slip of the T tube upwards or downwards inside the common bile duct is not so rare. Fortunately, it is less dangerous and can usually be resolved without reoperation. It takes place several days after surgery, followed by the right subcostal pain, occasionally with temperature, rise of the bilirubin and with decrease or complete cessation of the bile drainage through the T tube. The diagnosis can be made only on the basis of T tube cholangiography. The re-establishment of the proper T tube position must be done under X-ray visualization. Seven cases of the T tube slip within the common bile duct, its clinical presentation, diagnosis and method of repositioning were presented. Possible mechanism of complication was described. As far as we know, the complications have not been described by other authors.

scholarly journals Right Hepatic Artery: A Cadaver Investigation and Its Clinical Significance

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Usha Dandekar ◽  
Kundankumar Dandekar ◽  
Sushama Chavan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Artery ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Normal Anatomy ◽  
Surgical Safety ◽  
Right Hepatic Artery ◽  
The Common ◽  
The Right

The right hepatic artery is an end artery and contributes sole arterial supply to right lobe of the liver. Misinterpretation of normal anatomy and anatomical variations of the right hepatic artery contribute to the major intraoperative mishaps and complications in hepatobiliary surgery. The frequency of inadvertent or iatrogenic hepatobiliary vascular injury rises with the event of an aberrant anatomy. This descriptive study was carried out to document the normal anatomy and different variations of right hepatic artery to contribute to existing knowledge of right hepatic artery to improve surgical safety. This study conducted on 60 cadavers revealed aberrant replaced right hepatic artery in 18.3% and aberrant accessory right hepatic artery in 3.4%. Considering the course, the right hepatic artery ran outside Calot’s triangle in 5% of cases and caterpillar hump right hepatic artery was seen in 13.3% of cases. The right hepatic artery (normal and aberrant) crossed anteriorly to the common hepatic duct in 8.3% and posteriorly to it in 71.6%. It has posterior relations with the common bile duct in 16.7% while in 3.4% it did not cross the common hepatic duct or common bile duct. The knowledge of such anomalies is important since their awareness will decrease morbidity and help to keep away from a number of surgical complications.

scholarly journals Gallstone-Induced Perforation of the Common Bile Duct in Pregnancy

HPB Surgery ◽  
2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
N. Dabbas ◽  
M. Abdelaziz ◽  
K. Hamdan ◽  
B. Stedman ◽  
M. Abu Hilal
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Emergency Laparotomy ◽  
Gallstone Pancreatitis ◽  
Third Trimester ◽  
Rare Presentation ◽  
Distal Common Bile Duct ◽  
The Third ◽  
The Common ◽  
Acute Gallstone Pancreatitis

Spontaneous perforation of the extrahepatic biliary system is a rare presentation of ductal stones. We report the case of a twenty-year-old woman presenting at term with biliary peritonitis caused by common bile duct (CBD) perforation due to an impacted stone in the distal common bile duct. The patient had suffered a single herald episode of acute gallstone pancreatitis during the third trimester. The patient underwent an emergency laparotomy, bile duct exploration, and removal of the ductal stone. The postoperative course was uneventful.

scholarly journals Regulation of Output of Electrolytes in Bile and Pancreatic Juice in Sheep

1972 ◽  
Vol 25 (1) ◽  
pp. 155 ◽  
Author(s):  
I Caple ◽  
T Heath
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Pancreatic Juice ◽  
The Common ◽  
Bicarbonate Output

Bile and pancreatic juice were collected from conscious, standing sheep with fistulae of the common bile duct, before and during infusions of secretin to the portal vein, and during infusion of acid to the duodenum. The output of volume and electrolytes, particularly bicarbonate, in bile and in pancreatic juice increased during infusion of secretin. However, the output of volume and of bicarbonate was three to five times higher in bile than in pancreatic juice. When acid was infused into the duodenum a similar result was obtained, and the increment in total bicarbonate output was similar to the amount of acid infused.

scholarly journals Treatment options for iatrogenic bile duct injuries with the loss of confluence

2019 ◽  
Vol 2 (2) ◽  
pp. 10
Author(s):  
A. A. Asadova
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Treatment Options ◽  
Biliary Injury ◽  
Bile Duct Injuries ◽  
The Common ◽  
The Right

Iatrogenic bile duct injuries (IBDI) with the loss of confluence are the most feared types of biliary injury and represent 4% of all IBDI. The loss of confluence understood as when the right and the left hepatic ducts lose continuity with the common bile duct tree and to restore this continuity is a serious surgical challenge. Aim. The aim of this study is to share our results concerning the surgical treatment options of IBDI with the loss of confluence. Material and methods. During in a 10 years period (2008-2018) 105 patients with IBDI were admitted to our centers for surgical treatment. Among these patients there were only 13 patients with the loss of confluence (Strasberg E4 type).

scholarly journals Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy

2017 ◽  
Vol 11 (2) ◽  
pp. 428-433 ◽  
Author(s):  
Hrudya Abraham ◽  
Sajan Thomas ◽  
Amit Srivastava
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Clinical Manifestations ◽  
Rare Condition ◽  
Endoscopic Retrograde ◽  
Distal Common Bile Duct ◽  
History Of ◽  
The Common

Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article.

Aberrant Right Hepatic Duct Originating from the Right Posterior Duct with Low Insertion into the Common Bile Duct

2006 ◽  
Vol 203 (6) ◽  
pp. 972 ◽  
Author(s):  
Gonzalo Pérez ◽  
Ricardo O. Escárcega ◽  
Julio Gargantua ◽  
Salvador Fuentes-Alexandro
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Duct ◽  
The Common ◽  
The Right

Heterotopic Gastric Mucosa in the Common Bile Duct With Cholangiocarcinoma

2018 ◽  
Vol 26 (8) ◽  
pp. 745-748 ◽  
Author(s):  
Yeseul Kim ◽  
Min Jung Jung ◽  
Su-Jin Shin
Keyword(s):  
Bile Duct ◽  
Gastric Mucosa ◽  
Common Bile Duct ◽  
Heterotopic Gastric Mucosa ◽  
Resected Specimen ◽  
Wall Thickening ◽  
Distal Common Bile Duct ◽  
Gastric Heterotopia ◽  
Radiologic Findings ◽  
The Common

Gastric heterotopia within the biliary system is extremely rare. Moreover, the combination of gastric heterotopia in the bile duct with cholangiocarcinoma has not been reported. We describe a case of heterotopic gastric mucosa in the common bile duct with cholangiocarcinoma. An 80-year-old male was admitted with abdominal pain. Abdominal computed tomography revealed wall thickening from the hilar duct to the distal common bile duct. Biopsy from the distal bile duct showed only benign gastric foveolar-type epithelium and fundic glands. Although the diagnosis of the biopsy was benign, malignancy was strongly suspected from the radiologic findings, and excision of the bile ducts was performed. Microscopically, the resected specimen showed poorly formed malignant glands and gastric heterotopia also identified in the common bile duct. Three months later, the patient’s state worsened due to recurrence, and he died. To our knowledge, this is the first report of gastric heterotopia in the bile duct accompanying cholangiocarcinoma.

Sign in / Sign up

Export Citation Format

Share Document