scholarly journals COVID-19 Infection Causing Liver Infarction, Severe Cholangiopathy, and Biliary Cast Syndrome

2020 ◽  
Vol I (1) ◽  
pp. 17-19
Author(s):  
Saroja Bangaru
Keyword(s):  
Biliary Cirrhosis ◽  
Rare Entity ◽  
Intrahepatic Bile Ducts ◽  
First Case ◽  
Ischemic Cholangiopathy ◽  
Transplant Evaluation ◽  
Cast Syndrome ◽  
Cholestatic Liver Injury ◽  
Secondary Biliary Cirrhosis ◽  
Severe Destruction

We present a patient with COVID-19 pneumonia with severe multi-organ failure who developed a liver infarction in the setting of acute illness and following recovery, had persistent cholestatic liver injury. On further evaluation, he was found to have a severe destruction of the intrahepatic bile ducts and biliary cast syndrome and ultimately, was felt to have severe ischemic cholangiopathy in the setting of recent COVID-19 infection. Because of the extent of destruction and persistent cholestasis, he is at risk of secondary biliary cirrhosis and is therefore undergoing a liver transplant evaluation. This case highlights a rare entity of liver infarction and severe cholangiopathy with biliary cast syndrome in the setting of COVID-19 infection. It is the first case of this reported to date, and its recognition in the presence of the COVID-19 pandemic is important. Keywords: Biliary cast, Cirrhosis, Cholangiopathy , COVID-19, Liver infarction.

ATRESIA OF THE INTRAHEPATIC BILE DUCTS

PEDIATRICS ◽  
1951 ◽  
Vol 8 (5) ◽  
pp. 628-647
Author(s):  
EDWARD H. AHRENS ◽  
RUTH C. HARRIS ◽  
H. EDWARD MACMAHON
Keyword(s):  
Bile Ducts ◽  
Serum Lipids ◽  
Biliary Cirrhosis ◽  
Case Histories ◽  
Course Of Disease ◽  
Biliary Epithelium ◽  
Intrahepatic Bile Ducts ◽  
Extrahepatic Bile Ducts ◽  
Embryologic Development ◽  
Secondary Biliary Cirrhosis

Case histories of four patients with atresia of the intrahepatic interlobular bile ducts are reviewed. Three of the four also had anomalies of the extrahepatic bile ducts. All had secondary biliary cirrhosis. The course of disease was distinguished by a relatively long life span, all patients surviving more than three years and one remaining alive at five years. Generalized skin xanthomatosis occurred in all patients, together with a marked and characteristic elevation of the serum lipids. There was no indication on postmortem examination that intrahepatic bile ducts had developed and then become obliterated. The evidence presented in this study suggests that absence of interlobular bile ducts is a developmental anomaly, and that the embryologic development of biliary epithelium is normally independent of the growth of hepatic trabeculae.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

Hepatic mitochondrial proliferation in rats with secondary biliary cirrhosis: Time course and mechanisms

Hepatology ◽  
1997 ◽  
Vol 26 (2) ◽  
pp. 386-391 ◽  
Author(s):  
M Forestier ◽  
M Solioz ◽  
F Isbeki ◽  
C Talos ◽  
J Reichen ◽  
...  
Keyword(s):  
Time Course ◽  
Biliary Cirrhosis ◽  
Secondary Biliary Cirrhosis

Feeding gastrostomy stoma site cutaneous myiasis: a rare entity

2021 ◽  
Vol 14 (7) ◽  
pp. e244352
Author(s):  
Snehasis Das ◽  
Naveen Kumar Gaur ◽  
Oseen Hajilal Shaikh ◽  
Uday Shamrao Kumbhar
Keyword(s):  
Medical History ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Metastatic Carcinoma ◽  
The Body ◽  
Rare Entity ◽  
Stoma Site ◽  
Endoscopic Gastrostomy ◽  
First Case ◽  
Cutaneous Myiasis

Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We present a 55-year-old woman diagnosed with metastatic carcinoma of the oesophagus who underwent feeding gastrostomy (FG). The patient later presented with worms at the FG site. We removed the FG tube, cleared all the maggots, thoroughly cleaned the wound and placed a new FG tube. Although its occurrences have been reported enough in medical history, there are only two documented cases of percutaneous endoscopic gastrostomy stoma site myiasis. Hence, we present the first case in the literature of cutaneous myiasis around an FG stoma site.

scholarly journals Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

2016 ◽  
Vol 38 (2) ◽  
Author(s):  
Mario Lima ◽  
Tommaso Gargano ◽  
Giovanni Ruggeri ◽  
Francesca Destro ◽  
Michela Maffi
Keyword(s):  
Choledochal Cyst ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Early Experience ◽  
Cyst Excision ◽  
Intrahepatic Bile Ducts ◽  
First Case ◽  
Laparoscopic Excision ◽  
Extracorporeal Anastomosis ◽  
Laparoscopic Removal

Choledochal cyst (CDC) is a congenital dilatation of the extra and/or intrahepatic bile ducts and it is a rare condition in western countries. Classical treatment consists of cyst excision and hepaticojejunostomy. The first case of a laparoscopic CDC excision was described in 1995 and since that time an increasing number of institutions have adopted this technique, with good success. We describe our early experience of 3 cases of CDC treated with laparoscopic approach. We used a 10 mm umbilical port for the camera, and four 3-5 mm operative ports. We performed the laparoscopic removal of the cyst and gallbladder, videoassisted preparation of the Roux-en-Y loop and laparoscopic hepaticjejunostomy. No post-operative complications occurred. Laparoscopic excision of CDCs has been supposed to give better observation, a better cosmetic result, potentially less postoperative pain, and a shorter recovery. The main argument for performing an extracorporeal anastomosis is that it decreases the operative time. We recommend caution to prevent injury to the pancreatic duct and biliary structures during dissection and anastomosis. Lifelong surveillance is mandatory, even after resection of the choledochal cyst.

scholarly journals Surgical approach and prognosis of primitive chest wall alveolar rhabdomyosarcoma in an adult: A case report and review of the literature

2020 ◽  
Vol 5 (2) ◽  
pp. 104-108
Author(s):  
Narindra Njarasoa Mihaja Razafimanjato ◽  
◽  
Tsiry Dama Ntsoa Ravelomihary ◽  
Mampionona Ranaivomanana ◽  
Guillaume Odilon Tsiambanizafy ◽  
...  
Keyword(s):  
Chest Wall ◽  
Surgical Approach ◽  
Complete Resection ◽  
Alveolar Rhabdomyosarcoma ◽  
Chest Wall Resection ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Dorsi Muscle ◽  
First Case ◽  
Multimodal Management

Alveolar rhabdomyosarcomas (ARMS) are rare entities that occur predominantly on the extremities and represent 20% of rhabdomyosarcomas. Other common locations include the peri-rectal and perineal regions, head and neck, and genitourinary system. To our knowledge, this presentation is the first case of alveolar rhabdomyosarcoma of the chest wall reported in the literature. Here, we describe a case of a 64-year-old man with alveolar rhabdomyosarcomas who underwent a chest wall resection. The defect was reconstructed with polypropylene mesh and latissimus dorsi muscle. Our patient did not show recurrence ten months after complete resection. The present paper describes our surgical approach to a case of primary alveolar rhabdomyosarcoma of the chest wall in an adult. The authors discuss the principal judgment criteria for successful surgical resection and prognosis, highlighting the relevance of chest wall reconstruction and their complementary aspects in the multimodal management of this rare entity.

Sign in / Sign up

Export Citation Format

Share Document