Complete Absence of the Extrahepatic Biliary Tree in a Newborn With Pigmented Stools

Cholangiopathies describe a group of conditions affecting the intrahepatic and extrahepatic biliary tree. Impairment to bile flow and chronic cholestasis cause biliary inflammation, which leads to more permanent damage such as destruction of the small bile ducts (ductopaenia) and biliary cirrhosis. Most cholangiopathies are progressive and cause end-stage liver disease unless the physical obstruction to biliary flow can be reversed. This review considers large-duct cholangiopathies, such as primary sclerosing cholangitis, ischaemic cholangiopathy, portal biliopathy, recurrent pyogenic cholangitis and Caroli disease.

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Biliary Atresia and Other Congenital Disorders of the Extrahepatic Biliary Tree

Pediatric Hepatology and Liver Transplantation ◽

10.1007/978-3-319-96400-3_7 ◽

2019 ◽

pp. 129-144 ◽

Cited By ~ 1

Author(s):

Pietro Betalli ◽

Mark Davenport

Keyword(s):

Biliary Atresia ◽

Biliary Tree ◽

Congenital Disorders ◽

Extrahepatic Biliary Tree

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Anatomical variations of the extrahepatic biliary tree: Review of the world literature

Clinical Anatomy ◽

10.1002/ca.1028 ◽

2001 ◽

Vol 14 (3) ◽

pp. 167-172 ◽

Cited By ~ 55

Author(s):

M. Lamah ◽

N.D. Karanjia ◽

G.H. Dickson

Keyword(s):

World Literature ◽

Biliary Tree ◽

Anatomical Variations ◽

The World ◽

Extrahepatic Biliary Tree

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Comparing the Roles of EUS, ERCP and MRCP in Idiopathic Acute Recurrent Pancreatitis

Clinical Medicine Insights Gastroenterology ◽

10.4137/cgast.s37927 ◽

2016 ◽

Vol 9 ◽

pp. CGast.S37927 ◽

Cited By ~ 5

Author(s):

Mohammad Taghi Safari ◽

Mohammad Bager Miri ◽

Shahram Ebadi ◽

Shabnam Shahrokh ◽

Amir Houshang Mohammad Alizadeh

Keyword(s):

Acute Pancreatitis ◽

Endoscopic Ultrasound ◽

Clinical Management ◽

Complete Resolution ◽

Imaging Modality ◽

Biliary Tree ◽

Recurrent Pancreatitis ◽

Close Proximity ◽

Extrahepatic Biliary Tree ◽

Symptoms And Signs

Acute recurrent pancreatitis (ARP) is defined as more than two attacks of acute pancreatitis with complete or almost complete resolution of symptoms and signs of pancreatitis between episodes. The initial evaluation fails to detect the cause of ARP in 10%-30% of patients, whose condition is classified as idiopathic ARP. Endoscopic ultrasound (EUS) has gained increasing attention as a useful imaging modality for the pancreas and the extrahepatic biliary tree. The close proximity of the pancreas to the digestive tract allows EUS to obtain detailed images of this organ. This review aims to record pancreaticobiliary endoscopic ultrasound (EUS) and other imaging modalities in the clinical management of patients with idiopathic ARP.

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Spontaneous Perforation of the Extrahepatic Biliary Tree in Infancy

Clinical Pediatrics ◽

10.1177/000992289002900605 ◽

1990 ◽

Vol 29 (6) ◽

pp. 322-324 ◽

Cited By ~ 12

Author(s):

Daniel A. Saltzman ◽

Charles L. Snyder ◽

Arnold Leonard

Keyword(s):

Biliary Tree ◽

Spontaneous Perforation ◽

Extrahepatic Biliary Tree

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Granular cell tumor of the common hepatic duct presenting as cholangiocarcinoma and acute acalculous cholecystitis

Acta chirurgica iugoslavica ◽

10.2298/aci0804099b ◽

2008 ◽

Vol 55 (4) ◽

pp. 99-101 ◽

Cited By ~ 8

Author(s):

D. Bilanovic ◽

I. Boricic ◽

D. Zdravkovic ◽

T. Randjelovic ◽

N. Stanisavljevic ◽

...

Keyword(s):

Granular Cell Tumor ◽

Hepatic Duct ◽

Acalculous Cholecystitis ◽

Granular Cell ◽

Biliary Tree ◽

Cell Tumor ◽

Common Hepatic Duct ◽

Benign Tumors ◽

Acute Acalculous Cholecystitis ◽

Extrahepatic Biliary Tree

Granular cell tumors (GCT) are rare benign tumors. Less than 1% of GCTs involve the extrahepatic biliary tree. Most researches favor a Schwann cell origin. Patient, caucasion, female, 31 year old presented with 4 month history of painless jaundice and pruritus. US and CT revealed dilatation of intrahepatic biliary tree and surgery was performed. Firm tumor mass was found above the conjunction of cystic duct and common hepatic duct (CHD) that caused obstruction and gallblader empyema. The patient underwent radical surgical procedure because Klatskin tumor was clinically suspected. Patohystology and immunohistochemistry confirmed granular cell tumor. Eight years after surgery the patient is wellbeing without symptoms. To our knowledge 69 cases of GCT of the extrahepatic biliary tree have been reported and none of the acute acalculous cholecystitis case accompanied by GCT of CHD. Granular cell tumors are rarely diagnosed preoperatively. Wide resection offers the best chance for cure.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20193658 ◽

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.

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