Obstructive jaundice due to acute acalculous cholecystitis: ‘Mirizzi-like syndrome’

2021 ◽  
Vol 14 (3) ◽  
pp. e239564
Author(s):  
Takashi Sakamoto ◽  
Alan Kawarai Lefor ◽  
Tetsuro Takasaki
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Acalculous Cholecystitis ◽  
Endoscopic Retrograde Cholangiography ◽  
Common Hepatic Duct ◽  
Acute Acalculous Cholecystitis ◽  
Endoscopic Retrograde ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage ◽  
Duct Stenosis

A 78 year-old female status post subarachnoid haemorrhage developed abdominal pain and obstructive jaundice. CT scan showed acute cholecystitis and dilation of the intrahepatic ducts. Endoscopic retrograde cholangiography revealed hepatic duct stenosis due to compression by an enlarged gallbladder. No stones were seen in the common hepatic duct and the cystic duct was patent. An endoscopic retrograde biliary drain was placed to relieve the obstructive jaundice due to acute acalculous cholecystitis. Percutaneous transhepatic drainage was performed to treat the acute acalculous cholecystitis. Hepatic duct stenosis was improved on endoscopic retrograde cholangiography performed 19 days after percutaneous transhepatic drainage. It may be reasonable to treat ‘Mirizzi-like syndrome’ non-operatively.

scholarly journals Granular cell tumor of the common hepatic duct presenting as cholangiocarcinoma and acute acalculous cholecystitis

2008 ◽  
Vol 55 (4) ◽  
pp. 99-101 ◽  
Author(s):  
D. Bilanovic ◽  
I. Boricic ◽  
D. Zdravkovic ◽  
T. Randjelovic ◽  
N. Stanisavljevic ◽  
...  
Keyword(s):  
Granular Cell Tumor ◽  
Hepatic Duct ◽  
Acalculous Cholecystitis ◽  
Granular Cell ◽  
Biliary Tree ◽  
Cell Tumor ◽  
Common Hepatic Duct ◽  
Benign Tumors ◽  
Acute Acalculous Cholecystitis ◽  
Extrahepatic Biliary Tree

Granular cell tumors (GCT) are rare benign tumors. Less than 1% of GCTs involve the extrahepatic biliary tree. Most researches favor a Schwann cell origin. Patient, caucasion, female, 31 year old presented with 4 month history of painless jaundice and pruritus. US and CT revealed dilatation of intrahepatic biliary tree and surgery was performed. Firm tumor mass was found above the conjunction of cystic duct and common hepatic duct (CHD) that caused obstruction and gallblader empyema. The patient underwent radical surgical procedure because Klatskin tumor was clinically suspected. Patohystology and immunohistochemistry confirmed granular cell tumor. Eight years after surgery the patient is wellbeing without symptoms. To our knowledge 69 cases of GCT of the extrahepatic biliary tree have been reported and none of the acute acalculous cholecystitis case accompanied by GCT of CHD. Granular cell tumors are rarely diagnosed preoperatively. Wide resection offers the best chance for cure.

Endometrial clear cell carcinoma with metastasis to the common hepatic duct: A rare aetiology of obstructive jaundice, diagnosed by biliary cytology brushing specimen

Cytopathology ◽  
2020 ◽  
Vol 31 (3) ◽  
pp. 240-242
Author(s):  
Beena U. Ahsan ◽  
Mohamed Alhamar ◽  
Kathryn M. Hogan ◽  
Daniel Schultz ◽  
Tobias Zuchelli ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Cell Carcinoma ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common ◽  
Biliary Cytology

The Value of Cholangiography through Jackson-Pratt Drains in the Management of Postoperative Biliary Injuries

2014 ◽  
Vol 80 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Francisco Igor B. Macedo ◽  
Victor J. Casillas ◽  
James S. Davis ◽  
Joe U. Levi ◽  
Danny Sleeman
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Common Hepatic Duct ◽  
Biliary Reconstruction ◽  
Biliary Injury ◽  
Endoscopic Retrograde ◽  
Distal Common Bile Duct ◽  
Potential Benefits

Iatrogenic biliary injury is the most significant complication after laparoscopic cholecystectomy. We present our experience with an alternative diagnostic approach using transcatheter cholangiography (TCC) through a Jackson-Pratt (JP) drain and discuss potential benefits and limitations of the technique. From March 2002 to February 2012, 40 patients with major postoperative biliary injury underwent biliary reconstruction at our institution. Mean age was 51.7 ± 18.1 years (range, 19 to 86 years) with 30 (75%) females. Seventeen (42.5%) injuries were detected intraoperatively and in 13 (32.5%) cases, JP drains were placed for biliary drainage. Lesions were classified according to Bismuth grade: I (10 patients [25%]), II (10 patients [25%]), III (six patients [15%]), IV (10 patients [25%]), and V (four patients [10%]). TCC was performed in seven patients with JP drains (53.8%). It fully defined the injury site in three cases of limited magnetic resonance cholangiopancreatography (MRCP) such as common hepatic duct and common bile duct leaks and in four cases (57.1%) that endoscopic retrograde cholangiopancreatography (ERCP) was limited as a result of clipping of the distal common bile duct. TCC showed promising results in cases of limited MRCP and ERCP such as fistulous orifices or leakage. It may represent an alternative adjunct in the diagnostic armamentarium of complex biliary injuries.

Percutaneous transhepatic drainage and insertion of an endoprosthesis for obstructive jaundice

1983 ◽  
Vol 145 (6) ◽  
pp. 763-768 ◽  
Author(s):  
Dirk J. Gouma ◽  
Robert I.C. Wesdorp ◽  
Robert J. Oostenbroek ◽  
Peter B. Soeters ◽  
Jacobus M. Greep
Keyword(s):  
Obstructive Jaundice ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage

Percutaneous transhepatic drainage in obstructive jaundice: Advantages and problems

1982 ◽  
Vol 69 (5) ◽  
pp. 261-264 ◽  
Author(s):  
G. A. D. McPherson ◽  
I. S. Benjamin ◽  
N. A. Habib ◽  
N. B. Bowley ◽  
L. H. Blumgart
Keyword(s):  
Obstructive Jaundice ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage

scholarly journals Deciphering Autoimmune Pancreatitis, a Great Mimicker: Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Satya Allaparthi ◽  
Mohammed Sageer ◽  
Mark J. Sterling
Keyword(s):  
Obstructive Jaundice ◽  
Autoimmune Pancreatitis ◽  
Epigastric Pain ◽  
Hepatic Duct ◽  
Liver Function Tests ◽  
Pancreatic Disease ◽  
Common Hepatic Duct ◽  
Caucasian Woman ◽  
Distal Common Bile Duct ◽  
Biliary Sphincterotomy

Background. Autoimmune pancreatitis (AIP) is an atypical chronic inflammatory pancreatic disease that appears to involve autoimmune mechanisms. In recent years, AIP has presented as a new clinical entity with its protean pancreaticobiliary and systemic presentations. Its unique pathology and overlap of clinical and radiological features and absence of serological markers foster the disease’s unique position. We report a case of diffuse type 1 autoimmune pancreatitis with obstructive jaundice managed with biliary sphincterotomy, stent placement, and corticosteroids. A 50-year-old Caucasian woman presented to our hospital with epigastric pain, nausea, vomiting, and jaundice. Workup showed elevated liver function tests (LFT) suggestive of obstructive jaundice, MRCP done showed diffusely enlarged abnormal appearing pancreas with loss of normal lobulated contours, and IgG4 antibody level was 765 mg/dL. EUS revealed a diffusely hypoechoic and rounded pancreatic parenchyma with distal common bile duct (CBD) stricture and dilated proximal CBD and common hepatic duct (CHD). ERCP showed tight mid to distal CBD stricture that needed dilatation, sphincterotomy, and placement of stent that led to significant improvement in the symptoms and bilirubin level. Based on clinical, radiological, and immunological findings, a definitive diagnosis of AIP was made. Patient was started on prednisone 40 mg/day and she clinically responded in 4 weeks.

scholarly journals Congenital biliary web- a rare cause of obstructive jaundice in an infant: A case report

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Allah Ditta ◽  
Muhammad Bilal Mirza ◽  
Muhammad Waqas-ur-Rehman ◽  
Maria Fahim ◽  
Farrakh Mehmood Satar ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Biliary Tree ◽  
Postoperative Recovery ◽  
Common Hepatic Duct ◽  
Rare Entity ◽  
Case Presentation ◽  
Complete Obstruction ◽  
The Common

Background: Congenital biliary web of the extra-hepatic biliary tree is becoming exceedingly rare cause of obstructive jaundice in children. Case Presentation: We report a case of 5-month-old male baby who presented with acholic stools and persistent jaundice since birth. Magnetic resonance cholangiopancreatography (MRCP) showed contracted gall bladder and focal narrowing at mid portion of the common bile duct (CBD) with proximal dilatation of biliary channels. On exploration, a complete web was found just proximal to the confluence of cystic duct and common hepatic duct causing complete obstruction of biliary tree. A Roux-en-Y hepatico-jejunostomy was done. Postoperative recovery was uneventful. Conclusion: We conclude that congenital biliary web is a rare entity and should be considered in the dif­ferential diagnosis of biliary atresia.

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