scholarly journals A Case of Hepatic Peribiliary Cysts with Hepatic Hilar Bile Duct Stenosis due to Enlargement after Total Gastrectomy

2020 ◽  
Vol 45 (3) ◽  
pp. 263-269
Author(s):  
Takayuki Suzuki ◽  
Itaru Sonoda ◽  
Shintaro Maeda ◽  
Kazuyasu Shinmura
Keyword(s):  
Bile Duct ◽  
Total Gastrectomy ◽  
Bile Duct Stenosis ◽  
Hilar Bile Duct ◽  
Peribiliary Cysts ◽  
Duct Stenosis

scholarly journals A CASE OF HILAR BILE DUCT STENOSIS CAUSED BY PERIBILIARY CYSTS

2005 ◽  
Vol 66 (5) ◽  
pp. 1166-1169
Author(s):  
Masatoshi SHIGETA ◽  
Manabu SUDO ◽  
Masahiko ORITA ◽  
Tadahiko ENOKI ◽  
Shinji NOSHIMA ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stenosis ◽  
Hilar Bile Duct ◽  
Peribiliary Cysts ◽  
Duct Stenosis

Differentiation of benign and malignant hilar bile duct stenosis

2016 ◽  
Vol 203 (2) ◽  
pp. 275-282 ◽  
Author(s):  
Xiaolei Liu ◽  
Zhiying Yang ◽  
Haidong Tan ◽  
Chen Shao ◽  
Liguo Liu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stenosis ◽  
Hilar Bile Duct ◽  
Duct Stenosis

A Case of Xanthogranulomatous Cholecystitis with Hilar Bile Duct Stenosis

2012 ◽  
Vol 45 (11) ◽  
pp. 1083-1090
Author(s):  
Kazuya Nakagawa ◽  
Ryutaro Mori ◽  
Michio Ueda ◽  
Kazunori Nojiri ◽  
Kouichi Taniguchi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Xanthogranulomatous Cholecystitis ◽  
Bile Duct Stenosis ◽  
Hilar Bile Duct ◽  
Duct Stenosis

scholarly journals Usefulness of Steroid Administration for Diagnosis of IgG4-Related Sclerosing Cholangitis

2012 ◽  
Vol 97 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Norio Kubo ◽  
Hideki Suzuki ◽  
Tsutomu Kobayashi ◽  
Kenichiro Araki ◽  
Shigeru Sasaki ◽  
...  
Keyword(s):  
Bile Duct ◽  
Steroid Therapy ◽  
Sclerosing Cholangitis ◽  
Liver Volume ◽  
Immunoglobulin G4 ◽  
Steroid Administration ◽  
Bile Duct Stenosis ◽  
Serum Igg4 ◽  
Hilar Bile Duct ◽  
Duct Stenosis

Abstract Immunoglobulin G4-related sclerosing cholangitis (IgG4-SC) is one of the IgG4-related systemic sclerosing diseases and responds well to steroid therapy. A 58-year-old male was admitted with hilar bile duct stenosis revealed by computed tomography. We performed percutaneous transhepatic right portal vein embolization (PTPE) and scheduled a right hepatectomy because a hilar cholangiocarcinoma was first suspected. However, there was no cytologic evidence of malignancy and serum IgG4 was elevated. Steroid therapy was initiated after PTPE. There was no evidence of bile duct stenosis after 4 weeks. Improving diagnostic technique, IgG4-SC was diagnosed and treated with steroid therapy. In some cases, we couldn't deny the malignancy and performed unnecessary resection. We recommend that steroid administration while waiting for the liver volume to increase after PTPE is useful. The therapy aids in the diagnosis of bile duct stenosis, which has value for a hilar bile duct limit type of IgG4-SC, as in the case reported here.

scholarly journals A Case of Chronic Cholecystitis with Peri-hilar Bile Duct Stenosis that was Difficult to Differentiate

2020 ◽  
Vol 96 (1) ◽  
pp. 195-197
Author(s):  
Ichiro Mizushima ◽  
Koichi Kagawa ◽  
Yuki Kasai ◽  
Yukihiro Otani ◽  
Yusaku Tanaka ◽  
...  
Keyword(s):  
Bile Duct ◽  
Chronic Cholecystitis ◽  
Bile Duct Stenosis ◽  
Hilar Bile Duct ◽  
Duct Stenosis

scholarly journals Difficulty Achieving a Preoperative Diagnosis of IgG4-Related Sclerosing Cholangitis

2018 ◽  
Vol 12 (2) ◽  
pp. 425-431
Author(s):  
Kazuhiro Suzumura ◽  
Etsuro Hatano ◽  
Masaharu Tada ◽  
Hideaki Sueoka ◽  
Hiroshi Nishida ◽  
...  
Keyword(s):  
Bile Duct ◽  
Preoperative Diagnosis ◽  
Sclerosing Cholangitis ◽  
Wall Thickening ◽  
Distal Bile Duct ◽  
Obliterative Phlebitis ◽  
Bile Duct Stenosis ◽  
Storiform Fibrosis ◽  
Lymphoplasmacytic Infiltration ◽  
Duct Stenosis

A 75-year-old male was admitted to our hospital because of bile duct stenosis. He had no medical history of autoimmune disease. The level of tumor markers, serum IgG, and IgG4 were within normal ranges. Computed tomography showed perihilar and distal bile duct stenosis and wall thickening without swelling or abnormal enhancement of the pancreas. Endoscopic retrograde cholangiopancreatography showed perihilar and distal bile duct stenosis. A biopsy and cytology from the distal bile duct stenosis suggested adenocarcinoma, and cytology from the perihilar bile duct also suggested adenocarcinoma. A preoperative diagnosis of perihilar and distal bile duct cancer was made, and the patient underwent left hepatectomy and pancreaticoduodenectomy. Resected specimens showed wall thickening in the perihilar and distal bile duct; however, tumors were unclear. A histopathological examination revealed lymphoplasmacytic infiltration, storiform fibrosis, and obliterative phlebitis in the perihilar and distal bile ducts. Immunohistochemistry revealed diffuse infiltration of IgG4-positive plasma cells in the perihilar and distal bile ducts. Lymphoplasmacytic infiltration, inflammatory change, storiform fibrosis, and obliterative phlebitis were shown in the pancreas. A final diagnosis of IgG4-related sclerosing cholangitis (IgG4-SC) with autoimmune pancreatitis was made. We herein report a case in which a preoperative diagnosis of IgG4-SC was difficult due to normal serum IgG4 levels and no obvious pancreatic lesion.

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