scholarly journals Obstructive Jaundice: A late presentation of blunt abdominal trauma of extrahepatic biliary tract treated endoscopically

2013 ◽  
Vol 04 (01) ◽  
pp. 016-018
Author(s):  
Mallikarjun Patil ◽  
Keyur A Sheth ◽  
Adarsh C K.
Keyword(s):  
Bile Duct ◽  
Magnetic Resonance ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Extrahepatic Bile Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Late Presentation ◽  
Delayed Presentation ◽  
Endoscopic Stent ◽  
Cbd Injury

ABSTRACTCommon bile duct (CBD) injuries from blunt abdominal trauma are rare. The diagnosis is often more difficult with incomplete injuries that result in a delayed presentation. We present a case of CBD injury due to trauma with delayed presentation. Magnetic resonance cholangiopancreatography demonstrated the nature of extrahepatic bile duct and was treated successfully with endoscopic stent placement. (J Dig Endosc 2013;4(1): 16–18)

scholarly journals Magnetic Resonance Imaging in Primary Sclerosing Cholangitis

2021 ◽  
Vol 3 (2) ◽  
pp. 20-24
Author(s):  
Aldona Wybraniec-Zaręba ◽  
Julia Tuchalska-Czuroń ◽  
Gabriela Półtorak-Szymczak ◽  
Mariusz Furmanek ◽  
Jerzy Walecki ◽  
...  
Keyword(s):  
Bile Duct ◽  
Magnetic Resonance ◽  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Bile Ducts ◽  
Extrahepatic Bile Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Left Liver Lobe ◽  
Bile Duct Stenosis ◽  
Mri Features

Primary sclerosing cholangitis (PSC) is a chronic liver disease in which there are inflammation and scarring of the bile ducts leading to fibrosis, destruction and narrowing of the bile ducts, resulting in cholestasis. In the long run, PSC can cause liver cirrhosis and failure. In clinical practice, the diagnosis of PSC is generally based on blood tests and imaging studies (currently preferably magnetic resonance cholangiopancreatography). To make a diagnosis of PSC it is necessary to exclude secondary causes of sclerosing cholangitis. The most common MRI features of PSC concerning bile ducts are: bile duct dilatation, beading, extrahepatic bile duct stenosis, wall enhancement and thickening. The most common MRI features of PSC concerning hepatic parenchyma are: rounded shape of the liver caused by hypertrophy of caudate lobe and left liver lobe, atrophy of the right lobe, enlargement of portal and/or portacaval lymph nodes, peripheral parenchymal inflammation, wedge-shaped confluent fibrosis, heterogeneity of the liver parenchyma, periportal oedema, cirrhosis with indirect signs of portal hypertension such as splenomegaly, ascites and collateral vasculature.

Complications following Repair of Extrahepatic Bile Duct Injuries after Blunt Abdominal Trauma

2001 ◽  
Vol 25 (10) ◽  
pp. 1313-1316 ◽  
Author(s):  
Jose A. Rodriguez-Montes ◽  
Esther Rojo ◽  
Luis García-Sancho Martín
Keyword(s):  
Bile Duct ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Extrahepatic Bile Duct ◽  
Bile Duct Injuries

scholarly journals Isolated extrahepatic bile duct rupture: a rare consequence of blunt abdominal trauma. Case report and review of the literature

2012 ◽  
Vol 7 (1) ◽  
pp. 16 ◽  
Author(s):  
Ruben Balzarotti ◽  
Stefania Cimbanassi ◽  
Osvaldo Chiara ◽  
Gianpietro Zabbialini ◽  
Claude Smadja
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Extrahepatic Bile Duct ◽  
Review Of The Literature ◽  
Trauma Case

Isolated extrahepatic bile duct rupture in blunt abdominal trauma

2005 ◽  
Vol 23 (2) ◽  
pp. 231-232 ◽  
Author(s):  
J.M. Ramia ◽  
G. Gutiérrez ◽  
D. Garrote ◽  
A. Mansilla ◽  
J. Villar ◽  
...  
Keyword(s):  
Bile Duct ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Extrahepatic Bile Duct

scholarly journals An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings

2013 ◽  
Vol 47 (2) ◽  
pp. 125-127
Author(s):  
Hakan Önder ◽  
Faysal Ekici ◽  
Emin Adin ◽  
Suzan Kuday ◽  
Hatice Gümüş ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Magnetic Resonance ◽  
Biliary Obstruction ◽  
Fasciola Hepatica ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Clinical Findings ◽  
Imaging Studies ◽  
Laboratory Findings ◽  
Acoustic Shadow

Background. Fascioliasis is a disease caused by the trematode Fasciola hepatica. Cholangitis is a common clinical manifestation. Although fascioliasis may show various radiological and clinical features, cases without biliary dilatation are rare. Case report. We present unique ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) findings of a biliary fascioliasis case which doesn’t have biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with juvenile and mature Fasciola hepatica within the gallbladder and common bile duct were found. The parasites appear as bright echogenic structures with no acoustic shadow on US and hypo-intense curvilinear lesions on T2 weighted MRCP images. Conclusions. Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions.

scholarly journals A Resected Case of Mucinous Adenocarcinoma of the Duodenum, Mimicking Intraductal Papillary Neoplasm of the Bile Duct

2015 ◽  
Vol 100 (11-12) ◽  
pp. 1443-1448
Author(s):  
Norio Kubo ◽  
Hideki Suzuki ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
Akira Watanabe ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Transverse Colon ◽  
Extrahepatic Bile Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Mucinous Carcinoma ◽  
Villous Tumor ◽  
Intraductal Papillary Neoplasm ◽  
The Common ◽  
Papillary Neoplasm

Duodenum mucinous carcinoma is very rare, and the prognosis of the patient is very bad, especially when the tumor is invasive to other organs. In this case, duodenum carcinoma was invasive to common bile duct and transverse colon. Mucinous fluid, which was secreted from a duodenum tumor, was found in the dilatated bile duct. The intraductal papillary neoplasm of the bile duct was considered a differential diagnosis. We performed aggressive resection and had a good prognosis. A 74-year-old woman received a diagnosis of cholangitis and was treated with antibiotic drugs. Endoscopic retrograde cholangiopancreatography revealed a defect in the lower common bile duct with the mucoid fluid. We suspected intraductal papillary neoplasm of the bile duct, but no malignant cells were detected. One year later, gastrointestinal fiberscopy revealed a villous tumor in the postbulbar portion of the duodenum; adenocarcinoma was detected in biopsy specimens. Computed tomography revealed dilatation of the duodenum with an enhanced tumor, and dilatation of both the common and intrahepatic bile ducts. Magnetic resonance cholangiopancreatography revealed that the duodenum was connected with the common bile duct and ascending colon. We resected the segmental duodenum, extrahepatic bile duct, left lobe of liver, a partial of the transverse colon, and associated lymph nodes. Although the advanced duodenal carcinoma had poor prognosis, the patient was alive, without recurrence, 5 years after the operation.

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