scholarly journals The Use of the Gallbladder Wall for Reconstruction of the Extrahepatic Bile Ducts in a Case of Agenesis of the Common Bile Duct: A Case Report

2016 ◽  
Vol 3 (5) ◽  
Author(s):  
Maher N Ghabriel
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Ducts ◽  
Gallbladder Wall ◽  
Extrahepatic Bile Ducts ◽  
The Common

scholarly journals On the question of primary malignant neoplasms of ductus hepatici

2021 ◽  
Vol 22 (7) ◽  
pp. 781-784
Author(s):  
N. I. Vylegzhanin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Ducts ◽  
Malignant Neoplasms ◽  
Papilla Vateri ◽  
Extrahepatic Bile Ducts ◽  
Frequent Site ◽  
The Common

Among the neoplasms of large extrahepatic bile ducts, cancers occupy the first place in terms of frequency and importance, and the common bile duct, especially its beginning the place where it flows into the duodenum (papilla Vateri), is the most frequent site of cancer localization.

scholarly journals TOTAL HEPATOCYTES VOLUME AS THE SURVIVAL FACTOR IN EXPERIMENTAL OBSTRUCTION OF THE BILIARY PATHWAYS

2020 ◽  
pp. 21-26
Author(s):  
I. М. Mamontov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Ducts ◽  
Fatal Outcome ◽  
Liver Volume ◽  
Volume Density ◽  
Morphometric Study ◽  
Survival Factor ◽  
Extrahepatic Bile Ducts ◽  
The Common

Abstract. The aim of the research was to studying histological and some morphomethrics feathers of the liver and related with them lethality during experimental complete and partial obstruction of the extrahepatic bile ducts (COEHBD and POEHBD). Materials and methods. The experiment was included 83 rats that were sacrificed on the 3rd, 7th, 14th, 21st, 28th and 35th days. COEHBD was modeled by ligation and transaction of the common bile duct, POEHBD was modeled by ligation of the common bile duct with a needle of a given diameter. Histological analyses of the liver was performed together with morphometric study. Results. The death of rats occurs during the first 3 days of the experiment and after 14 days, with a predominance of mortality on 14-35 days compared to the period up to 14 days (p<0.05). Death after 14 days of the experiment occurs in the model of complete cholestasis. From the all investigated morphometric measures such as the hepatocytes volume density (HVD), liver volume (LV), total hepatocytes volume (THV), the last one is the most accurately reflects the compensatory capabilities of the liver in conditions of complete and partial cholestasis and can serve as a criteria for predicting of the fatal outcome. Conclusion. The THV most accurately reflects the compensatory capabilities of the liver in experimental COEHBD and POEHBD and can serve as a criterion for predicting a fatal outcome.

CHOLANGITIS AS A SYSTEMIC MANIFESTATION OF ACUTE BILIARY INFECTION

2020 ◽  
pp. 43-47
Author(s):  
A. O. Nekludov ◽  
M. O. Klosova ◽  
O. V. Volchenko ◽  
M. M. Goloborodko ◽  
A. Yu. Korolevska
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Water Column ◽  
Biliary Tract ◽  
Bile Ducts ◽  
Inflammatory Process ◽  
Acute Cholangitis ◽  
Biliary Infection ◽  
The Common ◽  
Further Development

The main causes of cholangitis are hypertension in the biliary ducts and infection. In order to determine the place of the infectious factor in the acute cholangitis development, a retrospective and prospective analysis of case histories of 176 patients with choledocholithiasis and manifestations of acute and chronic cholangitis was performed. Bile from the common bile duct in the patients with obstruction of the biliary tract was studied. In the patients with mechanical jaundice without and with cholangitis, the intraductal pressure in the common bile duct averaged 227.3±26.1 mm of water column, in the patients without signs of cholangitis that was 97.5±8.3 mm of water column. With mechanical jaundice without acute cholangitis, it was slightly elevated if compared to normal. This suggests that the increase in pressure in the bile ducts in acute cholangitis is not influenced by the fact of obstruction of the biliary tract, and the development of the inflammatory process in them. In the patients with cholangitis, the initial values of the number of colonizing units were much higher than in "pure" choledocholithiasis. After endoscopic papillosphincterotomy in the patients with vivid clinical cholangitis, in whom decompression was achieved, in the control study, this value decreased by 100−500 times, which was accompanied by clinical improvement. According to the results of the study, it was noted that in the patients with a manifested clinic sign of cholangitis there is a significant decrease in the number of colonizing units on the third day after endoscopic papillosphincterotomy. At the stone stuck in a papilla the choledoch turns into so−called analog of an abscess. The opening of the papilla provides a free passage of the contents of the choledochus (i.e. pus) into the duodenum, so there is an almost instant therapeutic effect. The increase in pressure in the bile ducts in acute cholangitis is influenced by the development of an inflammatory process, which indicates the manifestations of biliary infection. The presented research has a prospective character and needs further development. Key words: cholangitis, biliary infection, intraductal pressure, bile.

A Case Report of Ascariasis of the Common Bile Duct in a Patient Who Had Undergone Cholecystectomy

2000 ◽  
Vol 124 (8) ◽  
pp. 1231-1232
Author(s):  
Glenda Amog ◽  
Jeffrey Lichtenstein ◽  
Steven Sieber ◽  
Hani El-Fanek
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Epigastric Pain ◽  
Pancreatic Neoplasm ◽  
Ultrasound Finding ◽  
Laboratory Findings ◽  
Live Worm ◽  
Endoscopic Extraction ◽  
The Common

Abstract This is a case report of ascariasis of the common bile duct in a 65-year-old man from Colombia who had undergone prior cholecystectomy. The patient presented with postprandial epigastric pain and a 20-lb weight loss. The laboratory findings were remarkable for peripheral blood eosinophilia. The ultrasound finding was suggestive of periampullary or pancreatic neoplasm. He underwent endoscopic retrograde cholangiopancreatography with endoscopic extraction of a motile, live worm identified as Ascaris lumbricoides. Roundworm infestation should always be suspected in immigrants from endemic areas who present with hepatobiliary symptoms.

scholarly journals A CASE REPORT OF THE SEPTAL FORMATION OF THE COMMON BILE DUCT

1995 ◽  
Vol 56 (4) ◽  
pp. 805-810
Author(s):  
Susumu TAKAMATSU ◽  
Hiroshi NAKAMURA ◽  
Kunio SUGIHARA ◽  
Mitsuo ENDO ◽  
Takashi NAMAMURA
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
The Common

scholarly journals LAPAROSCOPIC CHOLEDOCH REVISION FOR THE TREATMENT OF CHOLEDOCHOLITHIASIS IN AN INFANT

2019 ◽  
Vol 23 (4) ◽  
pp. 220-223
Author(s):  
M. Yu. Kozlov ◽  
Anton S. Malashenko ◽  
A. A. Shchebeteev
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Bile Ducts ◽  
Open Abdomen ◽  
Unified Approach ◽  
Endoscopic Retrograde ◽  
Surgical Practice ◽  
Percutaneous Puncture ◽  
The Common

Choledocholithiasis is a rare pathology in children. Various techniques have been proposed for removing calculi from the common bile duct: percutaneous puncture drainage of bile ducts, endoscopic retrograde cholangiopancreatography with papillosphincterotomy as well as revision of the common bile duct which can be done laparoscopically or in the open abdomen. However at present, there is no any unified approach to managing this pahtology in children. The article describes authors’ experience of laparoscopic revision of the common bile duct in an infant with choledocholithiasis. The authors consider that this technique can be applied in pediatric surgical practice.

scholarly journals Cystic form of biliary atresia. Treatment experience

2020 ◽  
Vol 10 (1) ◽  
pp. 17-24
Author(s):  
Irina I. Borisova ◽  
Anatoliy V. Kagan ◽  
Svetlana A. Karavaeva ◽  
Aleksey N. Kotin
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Atresia ◽  
Bile Ducts ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Duct Cyst ◽  
Cystic Form ◽  
The Common

Background. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally. In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct. This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration (atresia) of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure. The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation. The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child. External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome. Aim. Demonstrate a rare type of biliary atresia. Materials and methods. Between 2001 and 2019, 33 patients with biliary atresia were treated in the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst. Children were operated on at the age of 2 and 3.5 months. The first patient underwent surgery Kasai, the second hepaticoyunoanastomosis. Results. During the observation period (9 years and 4 years), the synthetic function of the liver is normal, and there are currently no indications for transplantation. Conclusion. If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.

scholarly journals A Case Report of Amputation Neuroma of the Common Bile Duct Following Cholecystectomy and Choledochotomy.

1995 ◽  
Vol 28 (12) ◽  
pp. 2280-2284
Author(s):  
Naoto Senmaru ◽  
Sin Okajima ◽  
Takando Sakairi ◽  
Morio Tsukada ◽  
Hiroyuki Katoh
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Amputation Neuroma ◽  
The Common
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