scholarly journals Congenital biliary web- a rare cause of obstructive jaundice in an infant: A case report

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Allah Ditta ◽  
Muhammad Bilal Mirza ◽  
Muhammad Waqas-ur-Rehman ◽  
Maria Fahim ◽  
Farrakh Mehmood Satar ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Biliary Tree ◽  
Postoperative Recovery ◽  
Common Hepatic Duct ◽  
Rare Entity ◽  
Case Presentation ◽  
Complete Obstruction ◽  
The Common

Background: Congenital biliary web of the extra-hepatic biliary tree is becoming exceedingly rare cause of obstructive jaundice in children. Case Presentation: We report a case of 5-month-old male baby who presented with acholic stools and persistent jaundice since birth. Magnetic resonance cholangiopancreatography (MRCP) showed contracted gall bladder and focal narrowing at mid portion of the common bile duct (CBD) with proximal dilatation of biliary channels. On exploration, a complete web was found just proximal to the confluence of cystic duct and common hepatic duct causing complete obstruction of biliary tree. A Roux-en-Y hepatico-jejunostomy was done. Postoperative recovery was uneventful. Conclusion: We conclude that congenital biliary web is a rare entity and should be considered in the dif­ferential diagnosis of biliary atresia.

scholarly journals Cholangiocellular carcinoma of the common hepatic duct causing obstructive jaundice in a patient with metastatic colonic carcinoma within liver

2010 ◽  
Vol 138 (1-2) ◽  
pp. 88-90
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak ◽  
Marjan Micev ◽  
Stojan Latincic
Keyword(s):  
Bile Duct ◽  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Biliary Tree ◽  
Postoperative Recovery ◽  
Cholangiocellular Carcinoma ◽  
Colonic Carcinoma ◽  
Common Hepatic Duct ◽  
Histological Findings ◽  
The Common

Introduction. Colorectal carcinoma, one of the most frequent carcinomas, produces liver metastasis very frequently. Surprisingly, those secondaries rarely cause obstructive jaundice. If it appears, it is usually caused by compression or infiltration of the major bile ducts close to the hepatic hilus, less frequently with bile duct obstruction by gelatinous mucus produced by the tumour, much rarer by the tumour growth within the, otherwise intact, common bile duct and very rarely by metastasis into the biliary tree. Case Outline. We present a 67-year-old man who had been submitted to left colectomy for sygmoid colon carcinoma four years earlier, now, admitted with an obstructive jaundice, along with a number of liver and lung secondaries. Obstructive jaundice was caused by the vegetative tumour of the proximal part of the common hepatic duct which was resected and anastomosed with a Roux-en-Y jejunal limb. The postoperative recovery was uneventful. The patient died 7 months later without jaundice due to liver and lung secondaries. Histological findings showed cholangiocellular carcinoma of the common hepatic duct, while the histological findings of the liver tumour specimen confirmed metastatic colonic carcinoma. Conclusion. In case of obstructive jaundice in patients with metastatic colonic carcinoma within liver, other aethiological factors of biliary obstruction can not be excluded and have to be taken into differential diagnosis.

Measurement of capacity of biliary tree in rats

1963 ◽  
Vol 205 (6) ◽  
pp. 1122-1126 ◽  
Author(s):  
G. Barber-Riley
Keyword(s):  
Hepatic Duct ◽  
Biliary Tree ◽  
Liver Weight ◽  
Common Hepatic Duct ◽  
Marker Substances ◽  
The Common ◽  
Made In

A method is described for measuring the capacity of the normal and of the distended biliary tree. The method depends on the use of dyes rapidly excreted in the bile, which are used as marker substances, and is here applied to rats. The use of an alternative suitable dye, or large alterations in the quantity injected, produced in most cases only small changes in the measured capacities. The measured capacity of both the normal and of the distended biliary tree was found to be proportional to the liver weight, and was altered by an expected amount when a lobe of the liver was functionally removed. The measured extra capacity produced by obstruction of the common hepatic duct was similar to that found using another method. The reliability of the method and some probable errors are briefly discussed. It is concluded that measurements made in this manner might be used to examine the biliary tree during short periods of obstruction.

Endometrial clear cell carcinoma with metastasis to the common hepatic duct: A rare aetiology of obstructive jaundice, diagnosed by biliary cytology brushing specimen

Cytopathology ◽  
2020 ◽  
Vol 31 (3) ◽  
pp. 240-242
Author(s):  
Beena U. Ahsan ◽  
Mohamed Alhamar ◽  
Kathryn M. Hogan ◽  
Daniel Schultz ◽  
Tobias Zuchelli ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Cell Carcinoma ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common ◽  
Biliary Cytology

scholarly journals Survival from Primary Abdominal Lymphoma Presenting with a Mass and Obstructive Jaundice

1996 ◽  
Vol 10 (2) ◽  
pp. 89-92
Author(s):  
Hugh J Freeman ◽  
Andrew M Seal
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Management Approach ◽  
Lymphoma Treatment ◽  
Complete Clinical Remission ◽  
Pathological Evaluation ◽  
Hilar Region ◽  
Laboratory Investigations ◽  
The Common

A 68-year-old female presented with an enlarged and nontender palpable gallbladder and clinical features of obstructive jaundice. Subsequent laboratory investigations confirmed the presence of cholestasis associated with an obstructing mass in the region of the common hepatic duct. Pathological evaluation of the mass revealed a localized abdominal lymphoma. Treatment with chemotherapy and radiation resulted in complete clinical remission (for almost 14 years at the last evaluation). Primary abdominal lymphoma may involve the hilar region and present as a localized mass. Precise tissue diagnosis is essential to permit an aggressive management approach with the potential for significant clinical benefit.

Surgical Treatment of Solitary Neurofibroma of the Common Hepatic Duct: A Rare Cause of Obstructive Jaundice

1995 ◽  
Vol 12 (2) ◽  
pp. 140-143
Author(s):  
Lorenzo Dominioni ◽  
Massimo Bianchi ◽  
Antonio Chiappa ◽  
Renzo Dionigi
Keyword(s):  
Surgical Treatment ◽  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Solitary Neurofibroma ◽  
The Common

Obstructive jaundice caused by an adenoma of the common hepatic duct

2019 ◽  
Vol 42 (5) ◽  
pp. 309
Author(s):  
María Curieses Luengo ◽  
Pilar Varela Trastoy ◽  
Aránzazu Álvarez Álvarez
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common

Obstructive Jaundice Caused by Hepatoma Fragments in the Common Hepatic Duct

1990 ◽  
Vol 12 (2) ◽  
pp. 207-213 ◽  
Author(s):  
Jonathan Kiev ◽  
David C. Dyslin ◽  
Paul Vitenas ◽  
Morris D. Kerstein
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common

Resection of hepatocellular carcinoma with obstructive jaundice caused by compression of the common hepatic duct

1988 ◽  
Vol 39 (3) ◽  
pp. 201-205 ◽  
Author(s):  
Kwang Choon Lee ◽  
Katsuji Sakai ◽  
Hiroaki Kinoshita ◽  
Kazuhiro Hirohashi ◽  
Yasutoshi Tsuji ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
The Common

scholarly journals Modern view of biliary atresia in children

2020 ◽  
pp. 40-55 ◽  
Author(s):  
G. V. Volynets ◽  
A. I. Khavkin ◽  
A. V. Nikitin
Keyword(s):  
Biliary Atresia ◽  
Bile Ducts ◽  
Hepatic Duct ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Biliary Tree ◽  
Common Hepatic Duct ◽  
Type I ◽  
Blood Biochemical ◽  
The Common

Atresia of the biliary tract, or biliary atresia (BA), is a destructive, inflammatory disease in which progressive biliary tree fibrosis in an infant leads to obstruction of the bile ducts and, as a result, to cirrhosis of the liver. If untreated, progressive cirrhosis leads to death by 2 years. Biliary atresia can be divided into 3 types, each of which depends on the level closest to biliary obstruction. Type I (obstruction of the common bile duct), type II (patency of the bile ducts to the level of the common hepatic duct), type III (obstruction at the level of the gates of the liver). It is very important to distinguish between types of BA and conduct differential diagnosis with other cholestatic diseases. There are nonsyndromic, syndromic, and BA, combined with other malformations. In diagnostics, in addition to clinical manifestations and specific changes in blood biochemical parameters characterizing cholestasis, an ultrasound examination of the abdominal cavity organs, gepatobiliscintigraphy, magnetic resonance cholecystopancreatocholangiography, according to indications, a puncture biopsy of the liver and histological examination are performed. The main method of treatment is hepatoportoenterostomy according to Kasai, which must be performed no later than 3 months, and with liver cirrhosis and hepatic insufficiency, liver transplantation. Additional methods of treatment include the use of ursodeoxycholic acid, fat-soluble vitamins.

scholarly journals Presence of Cystic Artery in the Calot’s Triangle and Its Relation with Common Hepatic Duct – a Postmortem Study

2013 ◽  
Vol 10 (2) ◽  
pp. 50-56
Author(s):  
Md Khalilur Rahman ◽  
Selina Anwar
Keyword(s):  
Surgical Intervention ◽  
Hepatic Duct ◽  
Biliary Tree ◽  
Cystic Artery ◽  
Common Hepatic Duct ◽  
Common Disease ◽  
Medicine Department ◽  
Medical College ◽  
Iatrogenic Complications ◽  
The Common

Introduction: Most common disease of liver and biliary tree is cholelithiasis which needs surgical intervention. Safe execution of traditional cholecystectomy or laparoscopic surgery needs proper knowledge of the origin, course, branching pattern of the cystic artery and its relation with common hepatic duct. This study was aimed to find the presence of cystic artery in the Calot’s triangle and its relation with common hepatic duct to prevent any iatrogenic complications especially for newer surgeons in this field. Materials and Methods: This study was done on 60 postmortem gallbladder collected from postmortem dead bodies under the guidance of Forensic Medicine department of Rangpur Medical College, Rangpur. After collection of the specimen, the boundary of the Calot’ triangle was identified and course of the cystic artery was observed whether it was passing through the triangle or not. The relation of the cystic artery with the common hepatic duct was also noticed. Results: It was found from the result of the present study that out of 60 cases cystic artery was found as a content of Calot’s triangle in 58 (96.65%) cases. Regarding the relations of the cystic artery, out of 60 specimens, in 54 cases (90%) cystic arteries were observed to pass behind the common hepatic duct. In four cases (6.67%) cystic artery were found crossing over the common hepatic duct and in two cases (3.33%), cystic artery were found crossing below the cystic duct. In one cases, branches of cystic artery (superficial and deep branch) was found. In every specimen a Calot‘s node was found within the Calot‘s triangle. Discussions: The result of the present study was compared with other workers. Though many of the workers found similar results regarding the course of the cystic artery through the Calot’ triangle but some workers found higher number of cystic artery passing outside the triangle. Also higher percentage of cystic artery passing over the common hepatic duct was found by many workers than the present study. DOI: http://dx.doi.org/10.3329/bja.v10i2.17282 Bangladesh Journal of Anatomy, July 2012, Vol. 10 No. 2 pp 50-56

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