scholarly journals Liver Atrophy Associated With Monolobar Caroli's Disease

HPB Surgery ◽  
1991 ◽  
Vol 4 (3) ◽  
pp. 203-207 ◽  
Author(s):  
L. N. Mohan ◽  
P. G. Thomas ◽  
A. B. Kilpadi ◽  
S. D'Cunha
Keyword(s):  
Ct Scan ◽  
Hepatic Duct ◽  
Vascular Anatomy ◽  
Disease Type ◽  
Type I ◽  
Caroli's Disease ◽  
Caroli’S Disease ◽  
Posterior Displacement ◽  
Right Lobe ◽  
The Right

The association of the atrophy-hypertrophy complex in monolobar Caroli’s disease (Type I) is reported in a 30 year old male who presented with recurrent cholangitis. Ultrasound and CT scan showed localised, right sided, saccular biliary dilatation in a normal sized liver. Severe right lobar atrophy was detected at operation and the resected right lobe weighed only 140 gms. Distortion of the hilar vascular anatomy and posterior displacement of the right hepatic duct orifice were problems encountered at surgery.

scholarly journals Comparative Anatomical, Ultrasonographical and Radiological studies of the biliary system of Rabbits and Domestic cats in Egypt

2019 ◽  
Author(s):  
R.T. Reem ◽  
M.A. Maher ◽  
H.E. Alaa ◽  
H.A. Farghali
Keyword(s):  
Bile Duct ◽  
Gall Bladder ◽  
Cystic Duct ◽  
Hepatic Duct ◽  
Human Model ◽  
Common Hepatic Duct ◽  
Domestic Cats ◽  
Left Hepatic Duct ◽  
Right Lobe ◽  
The Right

ABSTRACTUnder the prevailing overall Conditions of all veterinarians for the diagnosis of biliary diseases, application of surgical procedures and liver transplantation in Cats as carnivorous pet animal, and Rabbits as herbivorous pet animal and also as a human model in research. The present study was constructed on twelve native breeds of rabbits (Oryctolagus cuniculus) and eighteen adult domestic cats (Felis catus domesticus). We concluded that, in brief; the rabbit gall bladder was relatively small, fixed by several small hepato-cystic ducts to its fossa. The rabbit bile duct was formed commonly by the junction of the left hepatic duct and the cystic duct. The cystic duct was commonly fairly large, received the right hepatic duct that collected the right lobe in its route to enter the duodenum, the bile duct receives the branch of the caudate process of the caudate lobe. The present study revealed other four anatomic variations dealing with the shape and size of the feline native breed’s gall bladder from fundic duplication, bilobed, truncated fundus and distended rounded fundus. Commonly, the bile duct was formed by the triple convergence of the left and the right hepatic ducts with the cystic duct. However, in some exceptional cases a short common hepatic duct was formed. Sonographically, the normal gall bladder in rabbit appeared small, elongated with anechoic lumen bordered by right lobe laterally and quadrate lobe medially and has no visible wall, but in cat varied in conformation, bordered by the right medial lobe laterally and the quadrate lobe medially surrounded by echogenic wall.

scholarly journals Hepatic epitheloid haemangioendothelioma: a rare malignant tumour

2020 ◽  
Vol 13 (1) ◽  
pp. e232794
Author(s):  
Pernille Strecker Lund ◽  
Gro Linno Willemoe ◽  
Lasse Bremholm Hansen ◽  
Mads Warnecke
Keyword(s):  
Abdominal Pain ◽  
Liver Biopsy ◽  
Ct Scan ◽  
Intrahepatic Cholangiocarcinoma ◽  
Locally Advanced ◽  
Malignant Tumour ◽  
Ultrasound Guided ◽  
Mri Scans ◽  
Right Lobe ◽  
The Right

Our case concerns a 66-year-old man. After experiencing recurrent episodes of abdominal pain, an initial CT scan, ultrasound and gastroscopy was carried out. All of which showed normal findings.As a consequence of persisting symptoms, another CT scan was performed. This scan revealed a hypodense area in the right lobe of the liver. This was interpreted as a possible haemangioma. Subsequent MRI scans indicated an intrahepatic cholangiocarcinoma. A final ultrasound-guided liver biopsy was performed and histology demonstrated epitheloid haemangioendothelioma, which was locally advanced and inoperable.

scholarly journals Nocardia farcinica meningitis in a patient with high-grade astrocytoma

2019 ◽  
Vol 13 (09) ◽  
pp. 854-857
Author(s):  
Elahe Nasri ◽  
Hamed Fakhim ◽  
Aleksandra Barac ◽  
Saber Yousefi ◽  
Kouros Aghazade ◽  
...  
Keyword(s):  
Ct Scan ◽  
Nocardia Farcinica ◽  
High Grade Astrocytoma ◽  
Perilesional Edema ◽  
Progressive Dyspnea ◽  
Alveolar Infiltrate ◽  
History Of ◽  
Right Lobe ◽  
The Right ◽  
Astrocytoma Grade Iii

We describe a case of 91-year-old male with astrocytoma who developed meningitis caused by Nocardia farcinica. He had a past medical history of anaplastic astrocytoma grade III. Endocranial computed tomography (CT) scan revealed mass lesion in the left occipital region associated with perilesional edema, without evidence of midline shift issue. The analyses of cerebrospinal fluid (CSF) revealed neutrophilic pleocytosis, hyperproteinorrachia and hypoglycorrhachia. Combined antimicrobial therapy was initiated (vancomycin, meropenem, acyclovir). CSF culture revealed Nocardia farcinica. Susceptibility testing revealed intermediate sensitivity to meropenem and antibiotic treatment was switched to trimethoprim-sulfamethoxazole and imipenem. After 7 days of treatment the patient developed progressive dyspnea. The chest CT scan revealed bilateral pleural effusion and alveolar infiltrate mostly in the right lobe. Ceftriaxone was added to the therapy, but the outcome was lethal. Nocardia spp. should be considered as differential diagnosis in the patients with brain tumor or meningitis in the setting of immune suppression and corticosteroid use. CSF cultures should be incubated longer with aim to allow fastidious organisms to grow, such as Nocardia spp.

scholarly journals An Unusual Case of Monolobar Caroli’s Disease

1994 ◽  
Vol 8 (3) ◽  
pp. 185-188
Author(s):  
Anthony J Gomez ◽  
Robert J Bailey
Keyword(s):  
Abdominal Pain ◽  
Unusual Case ◽  
Pathological Examination ◽  
Right Hepatectomy ◽  
Radiological Evaluation ◽  
Caroli's Disease ◽  
Caroli’S Disease ◽  
Hepatic Lobe ◽  
Upper Abdominal ◽  
The Right

A 27-year-old male with recurrent upper abdominal pain was found to have a suspicious mass in the right hepatic lobe. Right hepatectomy was performed. Pathological examination and further radiological evaluation proved this to be a focal form of Caroli’s disease.

scholarly journals Improved accuracy of diagnosis hepatomegaly at computed tomography.

2018 ◽  
Vol 96 (5) ◽  
pp. 454-458
Author(s):  
A. I. Gromov ◽  
A. L. Alliua ◽  
N. S. Kulberg ◽  
P. A. Dulin
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Abdominal Cavity ◽  
Liver Volume ◽  
Liver Size ◽  
Organ Volume ◽  
Strong Relation ◽  
Right Lobe ◽  
The Right ◽  
Positive Results

Objectives: to increase informationvalue of computed tomography (CT) scan in assessing liver size Material and methods. The CT scan of the abdominal cavity of 108 patients from Moscow Radiological information system have been analysed. Measurement of three liver sizes, namely: width, height and thickness. Has been carried out 3D reconstruction of liver has been made on basis of its segmentation in the special module of the multimodal station Philips (IntelliSpase Portal), which permit to determine the organ volume with high accuracy. Results. It is established that in most cases (52%) judgment of liver volume is based on one kraniokaudal dimention of the right lobe. The number offalse positive results in determining the volume of the liver, according to the CT scan is 33.3% (specificity and predictability of the negative result is 60%), which reflects the hepatomegaly’s overdiagnosis. Using this data, it's been revealed that there are 2 sizes whose summation has a strong relation to the volume of the organ among all common linear size: craniocaudal and anteroposterior dimentions of the right lobe (r = 0,85). The most convenient in practice parameter for establishing the fact of a hepatomegaly is determined as the sum of given sizes and borderline value, that is 36 cm, is determined. The usage of this parameter reduces the number of false positive results to 5,6% and raises efficiency indicators of determinating of liver volume (specificity and predictability ofnegative result amount to 93,3%). Formulas for obtaining values of organ volume on the basis of two and three linear sizes of the right lobe liver sizes are developed. Conclusions. At present, there is a tendency of hyperdiagnosis of hepatomegaly, the cause of which is a complex and diverse form of the liver. The usage of the developed parameter that is the sum of the kraniokaudal and front-back the right lobe sizes increases accuracy for establishing the the fact of a hepatomegaly.

scholarly journals Cholelithiasis with atrophy of the right lateral hepatic lobe in a horse

2007 ◽  
Vol 37 (2) ◽  
pp. 586-589 ◽  
Author(s):  
Renato de Lima Santos ◽  
Tatiane de Fátima Brandão de Oliveira ◽  
Taismara Simas de Oliveira ◽  
João Felipe Brito Galvão ◽  
Tatiane Alves da Paixão ◽  
...  
Keyword(s):  
Hepatic Duct ◽  
Lateral Lobe ◽  
Common Hepatic Duct ◽  
Hepatic Lobe ◽  
History Of ◽  
Right Lobe ◽  
The Common ◽  
The Right ◽  
Left Lateral Lobe ◽  
Marked Atrophy

A 22 year-old horse developed cholelithiasis with marked atrophy of the right lateral hepatic lobe. The horse had a history of intermittent colic since three years of age, and one of the first episodes of colic was associated with icterus. The size of the right lateral hepatic lobe was extremely reduced. There was a large choledocholith in the common hepatic duct, and several hepatoliths and choleliths in the intra- and extra-hepatic billiary ducts. Microscopically, there was severe atrophy of the right lobe with diffuse proliferation of connective tissue and billiary ducts. The left lateral lobe had peri-portal fibrosis with proliferation of billiary ducts, and billiary stasis. Chemical analysis of the calculi detected amorphous and triple phosphate, bilirubin, calcium, and iron.

Refractory coeliac disease type I and II; Pilot-treatment with azathioprine and predinison

2001 ◽  
Vol 120 (5) ◽  
pp. A131-A131 ◽  
Author(s):  
C MULDER ◽  
P WAHAB ◽  
A TAN ◽  
J MEIJER
Keyword(s):  
Coeliac Disease ◽  
Disease Type ◽  
Type I ◽  
Refractory Coeliac Disease

Caroli's disease: hepatic arterial color doppler signals in the communicating dilated bile ducts

1992 ◽  
Vol 28 (1) ◽  
pp. 124 ◽  
Author(s):  
Moon Gyu Lee ◽  
Boo Kyung Han ◽  
Seong Yon Baek ◽  
Kyoung Sik Cho ◽  
Yong Ho Auh ◽  
...  
Keyword(s):  
Bile Ducts ◽  
Color Doppler ◽  
Caroli's Disease ◽  
Caroli’S Disease ◽  
Doppler Signals

Right Ventricle Mass Removal from Tricuspid Valve Apparatus: An Unusual Thromboembolic Complication of Severe Ketoacidosis

2016 ◽  
Vol 19 (2) ◽  
pp. 077
Author(s):  
Ireneusz Haponiuk ◽  
Maciej Chojnicki ◽  
Konrad Paczkowski ◽  
Wojciech Kosiak ◽  
Radosław Jaworski ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Tricuspid Valve ◽  
Mild Hypothermia ◽  
Heart Function ◽  
Thromboembolic Complication ◽  
Surgical Removal ◽  
Unusual Complication ◽  
Type I ◽  
Definitive Therapy ◽  
The Right

The presence of a pathologic mass in the right ventricle (RV) may lead to hemodynamic consequences and to a life-threatening incident of pulmonary embolism. The diagnosis of an unstable thrombus in the right heart chamber usually necessitates intensive treatment to dissolve or remove the pathology. We present a report of an unusual complication of severe ketoacidosis: thrombus in the right ventricle, removed from the tricuspid valve (TV) apparatus. A four-year-old boy was diagnosed with diabetes mellitus (DM) type I de novo. During hospitalization, a 13.9 × 8.4 mm tumor in the RV was found in a routine cardiac ultrasound. The patient was referred for surgical removal of the floating lesion from the RV. The procedure was performed via midline sternotomy with extracorporeal circulation (ECC) and mild hypothermia. Control echocardiography showed complete tumor excision with normal atrioventricular valves and heart function. Surgical removal of the thrombus from the tricuspid valve apparatus was effective, safe, and a definitive therapy for thromboembolic complication of pediatric severe ketoacidosis.<br /><br />

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