scholarly journals Conservative Treatment for Cystic Duct Stenosis in a Child

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Marco Gasparetto ◽  
Laura Giordano ◽  
Mara Cananzi ◽  
Valeria Beltrame ◽  
Gianni Bisogno ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Cystic Duct ◽  
Biliary Tree ◽  
Abdominal Ultrasound ◽  
Bile Duct Stenosis ◽  
Mr Cholangiography ◽  
One Year ◽  
Gallbladder Hydrops ◽  
Extrahepatic Biliary Tree ◽  
Duct Stenosis

Introduction. Few cases of common bile duct stenosis have been reported in the literature, and observations of strictures in the cystic duct are even more rare. Surgical cholecystectomy is the treatment needed in most cases of gallbladder hydrops. This paper describes the diagnosis and successful medical treatment of a rare pediatric case of cystic duct stenosis and gallbladder hydrops.Case Report. A formerly healthy one-year-old girl was admitted with colicky abdominal pain. Blood tests were normal, except for an increase in transaminases. Abdominal ultrasound excluded intestinal intussusception and identified a distended gallbladder with biliary sludge. MR cholangiography revealed a dilated gallbladder containing bile sediment and no detectable cystic duct, while the rest of the intra- and extrahepatic biliary tree and hepatic parenchyma were normal. This evidence was consistent with gallbladder hydrops associated with cystic duct stenosis. The baby was treated with i.v. hydration, corticosteroids, antibiotics, and ursodeoxycholic acid. Her general condition rapidly improved, with no further episodes of abdominal pain and normalization of liver enzymes. This allowed to avoid cholecystectomy, and the child is well 1.5 years after diagnosis.Conclusions. Although cholecystectomy is usually necessary in case of gallbladder hydrops, our experience suggests that surgical procedures can be avoided when the distension is caused by a cystic duct stenosis.

AB0986 Bile Duct Stenosis Causing Acute Gallbladder Hydrops in Kawasaki Disease

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 1228.2-1228
Author(s):  
J. Obršálová ◽  
P. Szitanyi ◽  
N. El-Lababidi ◽  
J. Drabek ◽  
O. Petru ◽  
...  
Keyword(s):  
Bile Duct ◽  
Kawasaki Disease ◽  
Bile Duct Stenosis ◽  
Gallbladder Hydrops ◽  
Duct Stenosis

scholarly journals Anomalous anatomical variation in extrahepatic biliary tree and pancreas and its related vessels: a cadaveric study

2019 ◽  
Vol 6 (9) ◽  
pp. 3111
Author(s):  
Mahim Koshariya ◽  
Sheikh Behram ◽  
Jay Prakash Singour ◽  
Shashikant Tiwari ◽  
Vidhu Khare
Keyword(s):  
Cystic Duct ◽  
Hepatic Duct ◽  
Anatomical Variation ◽  
Clinical Importance ◽  
Biliary Tree ◽  
Cystic Artery ◽  
Common Hepatic Duct ◽  
Left Hepatic Duct ◽  
Extrahepatic Biliary Tree ◽  
Insight Into

Background: Congenital anamolies of extrahepatic biliary apparatus and pancreas have long been recognized and are of clinical importance because when present may surprise the surgeon during surgery and lead to iatrogenic injuries. Surgeries on extra-hepatic biliary apparatus and pancreas are regularly performed throughout the world. Thus insight into the normal anatomy and congenital variations will reduce complication and definitely improve outcome.Methods: Study was conducted in department of surgery GMC Bhopal and dissection was carried out in Department of Forensic Medicine on 100 cadavers with approval from ethical committee.Results: In 100 cases 70 were male and 30 female. The most common variation in extra hepatic biliary apparatus was short cystic duct was found in 6% cases then formation of common hepatic duct by union of right hepatic duct and left hepatic duct was intrahepatic in 3% cases. There was low insertion of cystic duct with common hepatic duct in 1% case. Cystic artery originating from left hepatic artery in 1% case, in 1% case cystic artery was anterior to common hepatic duct. In Pancreas anterior arterial arcade was absent in 2% cases and its origin varied in 2% case. Posterior pancreatic arcade absent in 1% cases and variation in origin was present in 1% case. The variation in pancreatic duct course was present in 22% cases.Conclusions: Thus significant variation was seen and it could definitely be helpful to hepatobiliary, laproscopic surgeons, radiologist and will further contribute to literature on variation of extrahepatic biliary apparatus and pancreas and its related vessels.

scholarly journals A CASE OF BILE DUCT STENOSIS CAUSED BY TUBERCULOUS LYMPHADENITIS PENETRATING THE CYSTIC DUCT

2004 ◽  
Vol 65 (6) ◽  
pp. 1650-1653
Author(s):  
Hiroyuki NITTA ◽  
Ryoko SASAKI ◽  
Rie MASHIMA ◽  
Kentaro FUJISAWA ◽  
Kazuyoshi SAITO ◽  
...  
Keyword(s):  
Bile Duct ◽  
Cystic Duct ◽  
Tuberculous Lymphadenitis ◽  
Bile Duct Stenosis ◽  
Duct Stenosis

scholarly journals Intrahepatic bile duct dilation and gallbladder hydrops due to a cystic duct stenosis in a 2-month-old boy

2015 ◽  
Vol 2015 (may12 1) ◽  
pp. bcr2015209385-bcr2015209385
Author(s):  
A. Lollert ◽  
K. Laudemann ◽  
G. Staatz
Keyword(s):  
Bile Duct ◽  
Cystic Duct ◽  
Intrahepatic Bile Duct ◽  
Gallbladder Hydrops ◽  
Duct Stenosis

scholarly journals The Effects of Hydro-Alcoholic Extract of Leaf and Flower of Achillea wilhelmsii

2018 ◽  
Vol 15 (1) ◽  
pp. 145-150 ◽  
Author(s):  
Habibeh Zare
Keyword(s):  
Abdominal Pain ◽  
Essential Oil ◽  
Abdominal Ultrasound ◽  
High Titre ◽  
Alcoholic Extract ◽  
Helianthus Annus ◽  
Medicinal Properties ◽  
Achillea Wilhelmsii ◽  
One Year ◽  
Treatment Use

Achillea wilhelmsii from Helianthus annus family consists of about 115 species around the world. About 19 species of this genus that grows in Iran which has medicinal properties and is used in traditional medicine. An 18-year-old woman was admitted with abdominal pain complaints. Patient complaints began with vague abdominal pain and nausea about one year ago. The abdominal ultrasound showed multiple hypoechoic cysts in the peritoneal cavity. The CT scan confirmed the findings of the sonography and also showed several cysts in the kidney. Antibodies against Echinococcus granololus (by hemagglutination) with high titre was found in the serum of patients. the purpose of this study was to evaluate the components of the leaves and flowers Essential Oil of Achillea wilhelmsii, and essential oils effects on the liver cysts. In this study, the Achillea wilhelmsii species were collected. The leaves and flowers Essential Oil of this species was extracted by distillation with water and essential oil components were analyzed and identified using GC device. For the treatment, Use of Achillea wilhelmsii extract was prescribed one glass a day for one month to the patient. The patient's complaints were completely eliminated and the size of the patient's cysts was significantly reduced in the next examinations. Essential oil efficiency for leaves and flowers of Achillea wilhelmsii are: 8.1-cineole (13%) geranyl isovalerate (4.11%).

Diagnosis of acute cholecystitis: value of contrast agent in the gallbladder and cystic duct on Gd-EOB-DTPA enhanced MR cholangiography

2014 ◽  
Vol 38 (2) ◽  
pp. 174-178 ◽  
Author(s):  
In Young Choi ◽  
Sang Hoon Cha ◽  
Suk Keu Yeom ◽  
Seung Wha Lee ◽  
Hwan Hoon Chung ◽  
...  
Keyword(s):  
Contrast Agent ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Mr Cholangiography

scholarly journals Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Biliary Obstruction ◽  
Abdominal Ultrasound ◽  
Sporadic Case ◽  
Gallbladder Wall ◽  
Liver Cyst ◽  
Biliary Duct ◽  
Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

Functional MR Cholangiography: Diagnosis of Functional Abnormalities of the Gallbladder and Biliary Tree

2005 ◽  
Vol 184 (5) ◽  
pp. 1563-1571 ◽  
Author(s):  
Laura M. Fayad ◽  
Ihab R. Kamel ◽  
Donald G. Mitchell ◽  
David A. Bluemke
Keyword(s):  
Biliary Tree ◽  
Mr Cholangiography

scholarly journals Sphincter of Oddi Dysfunction: A Perplexing Presentation

2016 ◽  
Vol 10 (3) ◽  
pp. 714-719 ◽  
Author(s):  
Sana Ahmad Din ◽  
Iman Naimi ◽  
Mirza Beg
Keyword(s):  
Abdominal Pain ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Sphincter Of Oddi ◽  
Abdominal Ultrasound ◽  
Sphincter Of Oddi Dysfunction ◽  
Sphincter Pressure ◽  
Abdominal Symptoms ◽  
Biliary Sphincterotomy ◽  
Bile Drainage ◽  
Oddi Dysfunction

Sphincter of Oddi dysfunction is caused by stenosis or dyskinesia of the sphincter of Oddi, leading to blockage of bile drainage from the common bile duct. We present the case of a 16-year-old female with chronic abdominal pain who underwent laparoscopic cholecystectomy for cholelithiasis but continued to experience abdominal pain, nausea, and vomiting along with persistently elevated ALT and AST levels. Postoperative abdominal ultrasound was nondiagnostic. Esophagogastroduodenoscopy showed mild reflux esophagitis and mild chronic Helicobacter pylori-negative gastritis. Omeprazole was started, but it did not decrease the frequency and severity of the abdominal symptoms. Magnetic resonance cholangiopancreatography did not reveal any pathology. Endoscopic retrograde cholangiopancreatography with manometry confirmed an elevated biliary sphincter pressure. Biliary sphincterotomy was performed, and the symptoms improved.

Sign in / Sign up

Export Citation Format

Share Document