scholarly journals Isolated Avulsion of the Common Hepatic Duct from Blunt Abdominal Trauma

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Victor W. Wong ◽  
Arvin Gee ◽  
Paul Hansen ◽  
Andrew Michaels
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Duct ◽  
Treatment Options ◽  
Common Hepatic Duct ◽  
Concomitant Injuries ◽  
Endoscopic Techniques ◽  
The Common ◽  
The Stability ◽  
Delays In Diagnosis

Isolated extrahepatic biliary tract injury following blunt abdominal trauma is rare. The underlying pathogenic mechanisms remain obscure, but include shear and/or compression forces on the biliary system. Associated morbidity rates are high and largely the result of delays in diagnosis. Imaging modalities commonly employed for diagnosis include ultrasonography, computed tomography, nuclear medicine, and magnetic resonance imaging. Percutaneous and endoscopic techniques have been used both for diagnosis and treatment. Treatment options are dictated by the stability of the patient and the extent of bile duct and concomitant injuries. In this paper, we discuss a case of isolated avulsion of the hepatic duct confluence following blunt trauma that was successfully managed with Roux-en-Y hepaticojejunostomy. To our knowledge, this specific injury pattern has not been previously reported.

Laceration of the common hepatic duct bifurcation by blunt abdominal trauma

Injury ◽  
1992 ◽  
Vol 23 (6) ◽  
pp. 422-423 ◽  
Author(s):  
A. Muin ◽  
Y.P. Leong ◽  
S.K.S. Tay
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common

scholarly journals Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

2017 ◽  
Vol 30 (4) ◽  
pp. 231-234
Author(s):  
Yun Chul Park ◽  
Young Goun Jo ◽  
Wu Seong Kang ◽  
Eun Kyu Park ◽  
Hee Jun Kim ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Duct ◽  
Common Hepatic Duct

scholarly journals Anatomic Variations of the Right Hepatic Duct: Results and Surgical Implications from a Cadaveric Study

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Theodoros Mariolis-Sapsakos ◽  
Vasileios Kalles ◽  
Konstantinos Papatheodorou ◽  
Nikolaos Goutas ◽  
Ioannis Papapanagiotou ◽  
...  
Keyword(s):  
Bile Ducts ◽  
Hepatic Duct ◽  
Anatomical Variations ◽  
Common Hepatic Duct ◽  
Drainage Pattern ◽  
Left Hepatic Duct ◽  
Surgical Interventions ◽  
Drainage Patterns ◽  
The Common ◽  
The Right

Purpose. Thorough understanding of biliary anatomy is required when performing surgical interventions in the hepatobiliary system. This study describes the anatomical variations of right bile ducts in terms of branching and drainage patterns, and determines their frequency. Methods. We studied 73 samples of cadaveric material, focusing on the relationship of the right anterior and posterior segmental branches, the way they form the right hepatic duct, and the main variations of their drainage pattern. Results. The anatomy of the right hepatic duct was typical in 65.75% of samples. Ectopic drainage of the right anterior duct into the common hepatic duct was found in 15.07% and triple confluence in 9.59%. Ectopic drainage of the right posterior duct into the common hepatic duct was discovered in 2.74% and ectopic drainage of the right posterior duct into the left hepatic duct in 4.11%. Ectopic drainage of the right anterior duct into the left hepatic ductal system and ectopic drainage of the right posterior duct into the cystic duct was found in 1.37%. Conclusion. The branching pattern of the right hepatic duct was atypical in 34.25% of cases. Thus, knowledge of the anatomical variations of the extrahepatic bile ducts is important in many surgical cases.

Measurement of capacity of biliary tree in rats

1963 ◽  
Vol 205 (6) ◽  
pp. 1122-1126 ◽  
Author(s):  
G. Barber-Riley
Keyword(s):  
Hepatic Duct ◽  
Biliary Tree ◽  
Liver Weight ◽  
Common Hepatic Duct ◽  
Marker Substances ◽  
The Common ◽  
Made In

A method is described for measuring the capacity of the normal and of the distended biliary tree. The method depends on the use of dyes rapidly excreted in the bile, which are used as marker substances, and is here applied to rats. The use of an alternative suitable dye, or large alterations in the quantity injected, produced in most cases only small changes in the measured capacities. The measured capacity of both the normal and of the distended biliary tree was found to be proportional to the liver weight, and was altered by an expected amount when a lobe of the liver was functionally removed. The measured extra capacity produced by obstruction of the common hepatic duct was similar to that found using another method. The reliability of the method and some probable errors are briefly discussed. It is concluded that measurements made in this manner might be used to examine the biliary tree during short periods of obstruction.

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

scholarly journals Type VI Choledochal Cysts—Case Report and Review of Literature

2019 ◽  
Vol 05 (03) ◽  
pp. e82-e86 ◽  
Author(s):  
J. M. V. Amarjothi ◽  
Villalan Ramasamy ◽  
Jeyasudhahar Jesudasan ◽  
O. L. NaganathBabu
Keyword(s):  
Hepatic Duct ◽  
Treatment Options ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Interesting Case ◽  
Common Hepatic Duct ◽  
Choledochal Cysts ◽  
Middle Aged ◽  
Complete Excision ◽  
Intrahepatic Bile Ducts ◽  
Aged Woman

AbstractCholedochal cysts (CDC), are rare congenital dilations involving the extra hepatic biliary apparatus with or without dilation of the intrahepatic bile ducts. They are conventionally classified into five types. A new type, type VI, causing dilation of the cystic duct between the neck of the gall bladder and the common hepatic duct (CHD) has been described in medical literature which is the rarest of all these subtypes. They are commonly observed in middle aged females and are mostly symptomatic. Most of these cysts need magnetic resonance cholangiopancreatography (MRCP) for accurate diagnosis. Treatment options for these lesions are not well defined but range from simple cholecystectomy to complete excision of the entire bile duct and biliary reconstruction, as there is a concern of malignant transformation in these cysts. Hence, these rare cysts, though rare, must be borne in mind when dealing with suspicious cystic lesions in the biliary tract. Here, we present an interesting case of such a rare cyst and its management in a middle aged woman.

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