Ascending cholangitis in patients with malignant obstructive jaundice associated with biliary tree compression

Penetrating abdominal injuries, especially from gun shot wounds, are a common occurrence in South African hospitals, and a vast majority of these patient receive surgical intervention for suspected intra-abdominal injuries. Not all bullets are found and removed however, and we detail the case of a gentleman who presented to our institution with obstructive jaundice secondary to an extraluminal compression of his biliary tree by a retained migrated bullet, that spontaneously resolved, without any surgical intervention.

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A large-bore teflon endoprosthesis with side holes for nonoperative decompression of the biliary tract in malignant obstructive jaundice

Gastrointestinal Radiology ◽

10.1007/bf01888659 ◽

1980 ◽

Vol 5 (1) ◽

pp. 361-366 ◽

Cited By ~ 11

Author(s):

Jürgen Hoevels ◽

Anders Lunderquist ◽

Torben Owman ◽

Ingemar Ihse

Keyword(s):

Obstructive Jaundice ◽

Biliary Tract ◽

Malignant Obstructive Jaundice

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Cholesterol and its esters as serum biomarkers in malignant obstructive jaundice: a single step 1H NMR metabolomic approach

Metabolomics ◽

10.1007/s11306-013-0533-x ◽

2013 ◽

Vol 9 (6) ◽

pp. 1181-1191 ◽

Cited By ~ 1

Author(s):

Shatakshi Srivastava ◽

Raja Roy ◽

Santosh Kumar ◽

Hari Om Gupta ◽

Devendra Singh ◽

...

Keyword(s):

Obstructive Jaundice ◽

1H Nmr ◽

Single Step ◽

Serum Biomarkers ◽

Malignant Obstructive Jaundice ◽

Metabolomic Approach

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The Aftermath of a Hepatic Artery Aneurysm—A Rare Etiology of Biliary Obstruction!

Clinical Medicine Insights Gastroenterology ◽

10.1177/1179552217711430 ◽

2017 ◽

Vol 10 ◽

pp. 117955221771143 ◽

Cited By ~ 1

Author(s):

Catherine Linzay ◽

Abhishek Seth ◽

Kunal Suryawala ◽

Ankur Sheth ◽

Moheb Boktor ◽

...

Keyword(s):

Obstructive Jaundice ◽

Hepatic Artery ◽

Significant Risk ◽

Artery Aneurysm ◽

Biliary Tree ◽

Visceral Artery ◽

Biliary Stenting ◽

Hepatic Artery Aneurysm ◽

Skin Imaging ◽

Visceral Artery Aneurysms

Background: Hepatic artery aneurysms (HAAs) constitute 14% to 20% of visceral artery aneurysms. Most HAAs are asymptomatic. Although rare, obstructive jaundice due to external bile duct compression or rupture of the HAA into the biliary tree with occlusion of the lumen from blood clots has been reported. Case presentation: A 56-year-old white man presented to an outside hospital with symptoms of obstructive jaundice, including abdominal pain and yellowing of the skin. Imaging showed a large HAA. Patient was transferred to our hospital where an endoscopic retrograde cholangiopancreatography with biliary stenting was performed. This was followed by coil embolization of the HAA with improvement in symptoms and liver chemistries. Conclusions: Most clinicians agree that management of HAA is highly variable and depends on clinical presentation and anatomic location. Biliary stenting provides temporary relief for patients with obstructive jaundice. Definitive options include open aneurysmal repair versus endovascular therapy. Hepatic artery aneurysms represent a significant risk for hemorrhage and therefore must be addressed promptly once discovered.

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