scholarly journals Unusual Clinical Presentation of Hemobilia with Recurrent Vasovagal Episodes

2017 ◽  
Vol 11 (3) ◽  
pp. 554-558 ◽  
Author(s):  
Abhinav Tiwari ◽  
Tariq Hammad ◽  
Himani Sharma ◽  
Khola Qamar ◽  
Mohammad Saud Khan ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Blood Vessel ◽  
Gastrointestinal Bleeding ◽  
Clinical Presentation ◽  
Unusual Presentation ◽  
Biliary Colic ◽  
Classic Triad

Hemobilia is caused by the abnormal connection between a blood vessel and the bile duct, which is usually iatrogenic and caused by hepatobiliary procedures. The classic triad of hemobilia includes biliary colic, obstructive jaundice, and gastrointestinal bleeding. We present the case of an 80-year-old man who had laparoscopic cholecystectomy complicated by hemobilia. He had an unusual presentation of hemobilia in the form of transient vasovagal episodes in addition to abdominal pain and hematochezia.

Gallstone disease

2018 ◽  
pp. 401-414
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Gallstone Disease ◽  
Acute Cholangitis ◽  
Biliary Colic ◽  
Ultrasound Scan ◽  
Bile Duct Stones ◽  
Clinical Presentations ◽  
Laparoscopic Bile Duct Exploration

Gallstone disease is common with clinical presentations including biliary colic, cholecystitis, and obstructive jaundice. Acute cholangitis and pancreatitis are other complications. Ultrasound scan and MRCP as well as endoscopic ultrasound are investigation modalities. Medical treatment of gallstones with ursodeoxycholic acid is discussed as well as laparoscopic cholecystectomy with its risks and benefits. The prevalence of bile duct stones is around 10–20%. Strategies for investigation and management are discussed, including ERCP and laparoscopic bile duct exploration.

scholarly journals Hem-o-Lok Clip in the First Part of Duodenum after Laparoscopic Cholecystectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammadreza Seyyedmajidi ◽  
Seyed Ashkan Hosseini ◽  
Shahin Hajiebrahimi ◽  
Jamshid Vafaeimanesh
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gastrointestinal Endoscopy ◽  
Common Bile Duct Exploration ◽  
Anterior Wall ◽  
Upper Gastrointestinal Endoscopy ◽  
Ligation Method ◽  
Upper Gastrointestinal

Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. We report a case with a complaint of severe abdominal pain for the previous 20 days. Her medical history was unremarkable except for laparoscopic cholecystectomy 8 months ago. In upper gastrointestinal endoscopy, two Hem-o-Lok clips at anterior wall of the first part of duodenum were detected. Therefore, the clip can migrate during postoperative period and Hem-o-Lok is not a very safe ligation method during laparoscopic cholecystectomy.

scholarly journals Gallbladder Hypoplasia Treated by Laparoscopy: A Case Report and Literature Review

2019 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Víctor Serrats
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Magnetic Resonance ◽  
Histopathological Examination ◽  
Gallbladder Disease ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Biliary Colic ◽  
Rare Congenital Anomaly

The gallbladder hypoplasia is a rare congenital anomaly. We present a case of a 38-year-old man who was referred to us for surgical management of gallbladder disease. The patient presented abdominal pain compatible with repeating biliary colic as the first clinical manifestation. Preoperatively, the magnetic resonance cholangiopancreatography imaging was useful to study thoroughly the biliary tract in order to avoid any iatrogenic injury. Intraoperatively, laparoscopy revealed a rudimentary gallbladder and the histopathological examination confirmed the diagnosis of hypoplasic gallbladder. Laparoscopic cholecystectomy was successful and the patient did not present abdominal pain again.

scholarly journals Massive GIST of the stomach: Case report

2007 ◽  
Vol 54 (2) ◽  
pp. 127-129
Author(s):  
M. Jovovic ◽  
P. Bajic ◽  
M. Golubovic ◽  
V. Dobricanin ◽  
I. Maric
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Obstructive Jaundice ◽  
Gastrointestinal Bleeding ◽  
Bowel Obstruction ◽  
Gastrointestinal Stromal Tumors ◽  
Abdominal Distension ◽  
Difficult Patients ◽  
Stromal Tumors

Gastrointestinal stromal tumors (GIST) are rare mesenchimal neoplasmas of the gastrointestinal tract. The diagnosis of this tumors are often very difficult. Patients with this tumor are usually admitted to the hospital cause of the gastrointestinal bleeding, abdominal pain, abdominal distension, dysphagia, obstructive jaundice and bowel obstruction. In this case report, we present a 86 year old patient with massive GIST of the stomach which was not preoperatively diagnosed. .

scholarly journals Acute pancreatitis caused by postcholecystectomic pseudoaneurysmatic hemobilia

2019 ◽  
Vol 7 (1) ◽  
pp. 55-57
Author(s):  
Tamzeed Hossain ◽  
Nazmun Nahar Munny ◽  
Chowdhury Rifat Niger ◽  
Hasan Tasmim ◽  
Rawshan Arra Khanam ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Obstructive Jaundice ◽  
Gall Bladder ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Left Lobe ◽  
History Of

A 50 year old bangladeshi female, came to our emergency with hematemasis ,jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 1 month ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. She also had a vascular abnormaly (Her left lobe of liver is supplied by hepatic artery and right love of liver is supplied by accessory hepatic artery which is a branch of superior mesenteric artery, and a sacular aneurysm developed in accessory hepatic artery near the gall bladder fossa (near postcholecystectomy clipping). We are reporting another case of acute pancreatitis after laparoscopic cholecystectomy caused by hemobilia secondary to pseudoaneurysm in accessory hepatic artery originating from superior mesenteric artery. This is probably second such reported case. Bangladesh Crit Care J March 2019; 7(1): 55-57

scholarly journals Primary Amyloidosis Manifesting as Cholestatic Jaundice after Laparoscopic Cholecystectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Evangelos P. Misiakos ◽  
George Bagias ◽  
Dina Tiniakos ◽  
Konstantinos Roditis ◽  
Nick Zavras ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Liver Biopsy ◽  
Obstructive Jaundice ◽  
Cardiac Failure ◽  
Stent Placement ◽  
Total Bilirubin ◽  
Restrictive Cardiomyopathy ◽  
Primary Amyloidosis ◽  
Amyloid Deposits

A 71-year-old female patient with cholelithiasis who had undergone laparoscopic cholecystectomy was admitted with obstructive jaundice (total bilirubin ~6 mg/dL) three months later. An ERCP was performed, in which a gallstone was found, followed by a sphincterotomy and cleansing of the bile duct. Due to deterioration of jaundice (>25 mg/dL), a new, unsuccessful ERCP and stent placement was carried out. Because of ongoing cardiac failure, she underwent an echocardiogram which revealed restrictive cardiomyopathy possibly due to amyloidosis. A liver biopsy was performed, which was positive for amyloid deposits in the liver, and the diagnosis was confirmed by the detection of monoclonalλIgG protein in urine. The patient’s jaundice gradually deteriorated and she died one week later from hepatic insufficiency.

scholarly journals Minimally Invasive Treatment for Cholelithiasis

2021 ◽  
Author(s):  
Hirotaka Okamoto
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Minimally Invasive Surgery ◽  
Bile Duct ◽  
Minimally Invasive ◽  
Endoscopic Sphincterotomy ◽  
Gallstone Disease ◽  
Common Bile Duct Exploration ◽  
Biliary Reconstruction ◽  
Invasive Treatment

Gallstone disease, cholecysto- and choledocho-lithiasis, is one of the most common digestive diseases. Most patients with symptomatic cholecystolithiasis are recommended to undergo cholecystectomy to alleviate their symptoms like abdominal pain and jaundice. Approximately 10–20% of patients who undergo cholecystectomy for gallstones have choledocholithiasis. Nowadays, endoscopic and/or laparoscopic approaches are widely accepted as the treatment for patients with gallstone. Patients with cholecystolithiasis are usually treated by laparoscopic cholecystectomy, whereas patients with choledocholithiasis are done by endoscopic sphincterotomy (EST) or laparoscopic common bile duct exploration (LCBDE). Additionally, some cases are treated by biliary reconstruction such as biliary enteric anastomosis. In this chapter, currently available laparoscopic approaches as a minimally invasive surgery are introduced and discussed on the basis of pathogenesis of the gallstone.

scholarly journals Laparoscopic cholecystectomy: an experience of university hospital in eastern Nepal

2012 ◽  
Vol 10 (2) ◽  
pp. 134-136
Author(s):  
A Bajracharya ◽  
S Adhikary ◽  
C S Agrawal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
University Hospital ◽  
Biliary Colic ◽  
Female Ratio ◽  
Open Operation ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
History Of

Introduction: Laparoscopic cholecystectomy has become the standard treatment for symptomatic gall stones disease. Objective of this study to assess the safety of this procedure, to audit the conversion and bile duct injury rates and the factors which influence these. Methods: A total of 346 laparoscopic cholecystectomy over a six months period (15 April 2010 to 14 October 2010) with their demographics and ethnic group, conversion to open operation and bile duct injury were recorded. Pre operative, operative and the relevant data were collected prospectively. A chi squire test was done to determine significance of any differences between subgroups. Results: Male to female ratio was 1:4. The most common indication for surgery was biliary colic/dyspepsia (51%),cholecystitis (chronic- 49.4%, acute- 12%), pancreatitis, gallbladder polyp, history of recurrent attacks 16.5%,obesity 19.1%. 128 were operated by consultant, 170 by junior consultants, 48 were by senior residents. There was no statistically significant difference found in the duration of surgery between consultants and junior consultants (P=0.264), however significance between consultants and senior residents (P=<0.001)was observed. Conclusion: Despite limited resources, laparoscopic cholecystectomy is feasible and safe for gallstones disease even in developing country like Nepal.DOI: http://dx.doi.org/10.3126/hren.v10i2.6582 Health Renaissance 2012; Vol 10 (No.2); 134-136 

scholarly journals Cystic duct remnant stone removal by endoscopic retrograde cholangiopancreatography

2016 ◽  
Vol 07 (02) ◽  
pp. 065-067 ◽  
Author(s):  
Yogesh Harwani ◽  
Mahesh Goenka ◽  
Vijay Rai ◽  
Usha Goenka
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Female Patient ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Cystic Duct ◽  
Endoscopic Retrograde ◽  
Biliary Pain ◽  
Postcholecystectomy Syndrome

AbstractCystic duct remnant calculus (CDRC) is an important cause of postcholecystectomy syndrome.[1] Open assess cholecystectomy or laparoscopic cholecystectomy of the remnant duct is effective and considered to be preferred treatment. We report a case of 65-year-old female patient, a poor surgical candidate with CDRC who presented to us with biliary pain and obstructive jaundice secondary to common bile duct (CBD) stones, in whom CDRC was extracted during CBD clearance by endoscopic retrograde cholangiopancreatography.

scholarly journals Operative management of cholecystogastric fistula: case report and literature review

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Amaar Aamery ◽  
Ojas Pujji ◽  
Muhammad Mirza
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Literature Review ◽  
Diagnostic Imaging ◽  
Clinical Presentation ◽  
Operative Management ◽  
Surgical Approaches ◽  
Gallbladder Stones ◽  
Upper Abdominal

Abstract We present a patient who was managed surgically for cholecystogastric fistula. The patient was presented with nonspecific symptoms (upper abdominal pain, belching) and, after being investigated, was proceeded for laparoscopic cholecystectomy for gallbladder stones. Unexpectedly, intraoperative, she was found to have cholecystogastric fistula, which was operated with open single-stage approach. We highlight the incidence of these cases, the difficult preoperative clinical presentation and possible diagnostic imaging; explain further about the different surgical approaches to manage these cases and finally review the literature regarding the presentation and the management of bilioenteric fistulas.

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