scholarly journals Cholecystoduodenal Fistula Evading Imaging and Endoscopic Retrograde Cholangiopancreatography: A Case Report

Cureus ◽  
2021 ◽  
Author(s):  
Charles K Lee ◽  
Darren N Ramcharan ◽  
Kayla L Alaimo ◽  
Veronica Velez ◽  
Anika E Risden ◽  
...  
Keyword(s):  
Case Report ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Cholecystoduodenal Fistula ◽  
Endoscopic Retrograde

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 Bilateral vocal cord paresis as a rare complication of endoscopic retrograde cholangiopancreatography: a case report for the attention of endoscopist

2019 ◽  
Vol 5 (6) ◽  
pp. 1691
Author(s):  
Vinota Paniselvam ◽  
Ahmad Nordin
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Endoscopic Retrograde ◽  
Vocal Cords ◽  
Present Case Report ◽  
Vocal Cord Paresis

<p class="abstract">Bilateral vocal cord paresis is an extremely rare complication of endoscopic retrograde cholangiopancreatography (ERCP) with no case reported prior to this. We present a case of a 38 years old gentleman who suddenly developed aphonia and aspiration symptoms following ERCP. A rigid laryngoscopy done showed adductor paresis of bilateral vocal cords causing his symptoms, which was presumed to be a complication of the ERCP. He was treated conservatively and clinically improved with time. The present case report emphasizes that bilateral vocal cord paresis could occur as a complication of ERCP.</p>

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.

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