scholarly journals An Extremely Rare Bile Leakage: Aberrant Bile Duct in Left Triangular Ligament (Appendix Fibrosa Hepatis)

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Sezayi Kantar
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Bile Duct ◽  
Magnetic Resonance ◽  
Female Patient ◽  
Bile Ducts ◽  
Bile Leakage ◽  
Resonance Imaging ◽  
Surgical Interventions ◽  
Aberrant Bile Duct

Background. The anatomical variability of bile ducts can leave surgeons in very difficult conditions.Ultrasonography, computed tomography, magnetic resonance imaging (MRCP) and endoscopic imaging methods are used in diagnosis. In addition to conservative approaches, endoscopic procedures and laparoscopic or open surgical interventions may be necessary for treatment. In this article, we present a case of aberrant bile duct in left triangular ligament (appendix fibrosa hepatis), which is rarely seen. Case. We report the case of a 67-year-old female patient who was operated on due to dumping syndrome symptoms and hiatal hernia. There was a drainage of bile from the left side of the liver which was placed under the cardioesophageal junction. MRCP found bile esophageal in the left triangular ligament of the liver. Aberrant bile ducts were found in the left triangular ligament and ligated. The patient was discharged on the 7th day after operation. Conclusion. The anatomical variability of bile ducts can leave surgeons in very difficult conditions. We recommend that the dissected left triangular ligament should be ligated for the aberrant bile duct, especially in female patient.

scholarly journals Carcinoma of the Papilla of Vater after Diversion Operation for Pancreaticobiliary Maljunction

2017 ◽  
Vol 11 (2) ◽  
pp. 265-270
Author(s):  
Takahiro Yamanaka ◽  
Kenichiro Araki ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
Takamichi Igarashi ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Abdominal Pain ◽  
Bile Duct ◽  
Magnetic Resonance ◽  
Gastrointestinal Endoscopy ◽  
Ampulla Of Vater ◽  
Pancreaticobiliary Maljunction ◽  
Papilla Of Vater ◽  
Resonance Imaging

Pancreaticobiliary maljunction (PBM) is a congenital malformation that is associated with biliary cancer development. When patients are diagnosed with PBM, a diversion operation is recommended. Although a risk remains for developing residual bile duct carcinoma following diversion, the development of a carcinoma of the ampulla of Vater after a diversion operation for PBM is rare. We present a treated case of carcinoma of the ampulla of Vater after a diversion operation for PBM. A 65-year-old woman presented with abdominal pain. She had undergone extrahepatic bile duct resection and cholecystectomy 2 years 9 months previously for the treatment of type Ic PBM according to the Todani classification. At the current admission for evaluation of the abdominal pain, computed tomography and magnetic resonance imaging showed only dilation of the main pancreatic duct. However, gastrointestinal endoscopy showed a tumor at the papilla of Vater, and biopsy revealed adenocarcinoma of the papilla of Vater. We performed pylorus-preserving pancreaticoduodenectomy, and the pathological diagnosis was moderately differentiated tubular adenocarcinoma of the papilla of Vater with no metastasis to the lymph nodes. The patient remained in good health for 3 years postoperatively. Carcinoma of the papilla of Vater after a diversion operation for PBM is rare. In this case, a diagnosis could not be made by computed tomography or magnetic resonance imaging; the definitive diagnosis was obtained with gastrointestinal endoscopy. Careful postoperative follow-up with gastrointestinal endoscopy in addition to imaging examination may be needed after a diversion operation for PBM.

scholarly journals Primary osteosarcoma of the cranial vault

2017 ◽  
Vol 50 (4) ◽  
pp. 263-265 ◽  
Author(s):  
Gabriel Lacerda Fernandes ◽  
Marcelo Ricardo Canuto Natal ◽  
Célio Lúcio Palha da Cruz ◽  
Rafael Lemos Nascif ◽  
Niedja Santos Gonçalves Tsuno ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Female Patient ◽  
Conventional Radiography ◽  
Cranial Vault ◽  
Resonance Imaging ◽  
Primary Osteosarcoma

Only 5-10% of osteosarcomas arise from the craniofacial bones. We report the case of a 14-year-old female patient who presented with headache and a mass that had been growing in the left frontoparietal region for six months. We describe the findings on conventional radiography, computed tomography, and magnetic resonance imaging.

scholarly journals Computed Tomography and Magnetic Resonance Imaging Findings in a Case with Biliary Microhamartomas

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Alper Dilli ◽  
Umit Yasar Ayaz ◽  
Ilhami Yüksel ◽  
Cagrı Damar ◽  
Sevin Ayaz ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Bile Ducts ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Benign Neoplasms ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Fibrous Stroma ◽  
Routine Magnetic Resonance Imaging

Biliary microhamartomas, also known as bile duct hamartomas and von Meyenburg complexes, are benign neoplasms containing cystic dilated bile ducts embedded in fibrous stroma. They develop in hepatobiliary system, do not generally give clinical outcomes, and are detected incidentally. However, they can rarely show malignant transformation. Our aim was to report the contribution of computed tomography, routine magnetic resonance imaging, and magnetic resonance cholangiopancreatography in the diagnosis of biliary microhamartomas in a 61-year-old woman.

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