scholarly journals Migration of Hem‐o‐lok clip into the common hepatic duct after laparoscopic bile duct exploration: A case report

2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Zhenhua Tan ◽  
Renrui Wan ◽  
Hai Qian ◽  
Ping Xie
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common ◽  
Laparoscopic Bile Duct Exploration

scholarly journals Migration of Hem-o-lok clip into the common hepatic duct after laparoscopic bile duct exploration: A case report

2021 ◽  
Author(s):  
Zhenhua Tan ◽  
Renrui Wan ◽  
Hai Qian ◽  
Ping Xie
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Granulation Tissue ◽  
Stone Formation ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common ◽  
Laparoscopic Bile Duct Exploration

Hem-o-lok clips are widely used in laparoscopic surgery. Hem-o-lok clips migration into the bile duct can lead to stone formation and granulation tissue hyperplasia. This report discusses a case wherein four clips migrated into the bile duct after laparoscopic bile duct exploration. The patient successfully underwent laparoscopy and choledocholithotomy.

scholarly journals When It Doesn't Fit: Congenital Anomalies of the Choledochus

2020 ◽  
Vol 08 (01) ◽  
pp. e86-e89
Author(s):  
Helena Reusens ◽  
Mark Davenport
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Resected Specimen ◽  
Cystic Dilatation ◽  
Left Hepatic Duct ◽  
Distal Common Bile Duct

Abstract Introduction Congenital choledochal malformations (CCMs) are characterized by intra- and/or extrahepatic bile duct dilatation. Five basic types (1–5) are recognized in Todani's classification and its modifications, of which types 1 and 4 typically have an associated anomalous pancreatobiliary junction and common channel (CC). We describe two cases with previously undescribed features. Case Report 1 Antenatal detection of a cyst at porta hepatis was made in an otherwise normal girl of Iranian parentage. She was confirmed to be a CCM (20 mm diameter), postnatally, with no evidence of obstruction. Surgical exploration was performed at 12 weeks. She had an isolated cystic dilatation of the right-hepatic duct only. The left-hepatic duct and common bile duct (CBD) were normal without a CC. Histology of the resected specimen showed stratified squamous epithelium. Case Report 2 A preterm (31 weeks of gestation) boy of Nigerian parentage was presented. His mother was HIV + ve and he was treated with nucleoside reverse transcriptase inhibitors following birth. He had persistent cholestatic jaundice and a dilated (10 mm) bile duct from birth. Although the jaundice resolved, the dilatation persisted and increased, coming to surgery aged 2.5 years. This showed cystic dilatation confined to the common hepatic duct, and otherwise normal distal common bile duct and no CC. Result Both underwent resection with the Roux-en-Y hepaticojejunostomy reconstruction to the transected right-hepatic duct alone in case 1, leaving the preserved left duct and CBD in continuity, and to the transected common hepatic duct in case 2. Conclusions Neither choledochal anomaly fitted into the usual choledochal classification and case 1 appears unique in the literature.

Mucin-producing Bile Duct Tumor of the Caudate Lobe Protruding into the Common Hepatic Duct

2007 ◽  
Vol 11 (11) ◽  
pp. 1570-1572 ◽  
Author(s):  
Shuichiro Uchiyama ◽  
Kazuo Chijiiwa ◽  
Masahide Hiyoshi ◽  
Motoaki Nagano ◽  
Jiro Ohuchida ◽  
...  
Keyword(s):  
Bile Duct ◽  
Hepatic Duct ◽  
Caudate Lobe ◽  
Common Hepatic Duct ◽  
Bile Duct Tumor ◽  
The Common

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.

CA 19-9 production by a cystadenoma with mesenchymal stroma of the common hepatic duct: a case report

2008 ◽  
Vol 18 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Eugenio Caturelli ◽  
Michele Bisceglia ◽  
Maria Rosaria Villani ◽  
Giovanni Maio ◽  
Domenico Angelo Siena
Keyword(s):  
Case Report ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common ◽  
Mesenchymal Stroma

scholarly journals A case report of amputation neuroma of the common hepatic duct following cholecystectomy.

1990 ◽  
Vol 23 (11) ◽  
pp. 2634-2638
Author(s):  
Masaaki Yokota ◽  
Shuhei Iida ◽  
Nobuyuki Toshima ◽  
Ichiro Uyama ◽  
Keiji Torihama
Keyword(s):  
Case Report ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Amputation Neuroma ◽  
The Common

scholarly journals Spontaneous rupture of the common hepatic duct associated with acute pancreatitis: a case report

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Makram Moussa ◽  
Wissem Triki ◽  
Omar Karray ◽  
Ines Marzouk ◽  
Bouchoucha Sami
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Spontaneous Rupture ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common

scholarly journals Photodynamic therapy of extrahepatic cholangiocarcinoma using digital cholangioscopy

2020 ◽  
Vol 33 (1) ◽  
Author(s):  
Vítor Ottoboni BRUNALDI ◽  
José Eduardo BRUNALDI ◽  
José Dirceu VOLLET-FILHO ◽  
Mariangela Ottoboni BRUNALDI ◽  
José Celso ARDENGH ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Laser Light ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Direct Visualization ◽  
Extrahepatic Cholangiocarcinoma ◽  
Adjunct Treatment ◽  
The Common

ABSTRACT Background: Cholangiocarcinoma is an aggressive neoplasm that usually requires palliative biliary drainage. Photodynamic therapy (PDT) has been described as a successful adjunct treatment to malignant biliary obstruction. Aim: To describe the use of digital cholangioscope to help provide laser light during biliary PDT session using locally developed light source. Method: Patient receives intravenous photosensitizer 24 h before the procedure. It starts with a regular duodenoscopy. After identification of the major papilla and retrograde cannulation, the digital cholangioscope is introduced into the common bile duct. Then, the cholangioscopic examination helps to identify the neoplastic stricture. Under direct visualization lighting catheter is advanced through the cholangioscope. Repositioning is recommended every centimeter to cover all strictured area. At the end of the procedure, a final cholangioscopy assesses the bile duct for the immediate result and adverse events. Result: This procedure was applied in one 82-year-old male due to obstructive jaundice in the last two months. EUS and ERCP revealed a severe dilation of the common bile duct associated with choledocholithiasis. Besides, was revealed dilation of hepatic duct up to a well-circumscribed hypoechoic solid mass measuring 1.8x2 cm compressing the common hepatic duct. The mass was deemed unresectable and the patient was referred for palliative treatment with PDT. He remained asymptomatic for three months. He perished due to complications 15 months after the PDT session. Conclusion: Digital cholangioscopy-guided biliary PDT is feasible and seems safe and effective as an adjunct modality in the palliation of extrahepatic cholangiocarcinoma.

Study of a Primary Gastrinoma in the Common Hepatic Duct – A Case Report

Digestion ◽  
1999 ◽  
Vol 60 (2) ◽  
pp. 187-190 ◽  
Author(s):  
M.E. Martignoni ◽  
H. Friess ◽  
D. Lübke ◽  
W. Uhl ◽  
Ch. Maurer ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common
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