A Case of Common Bile Duct Carcinoma with Situs Inversus Totalis.

2001 ◽  
Vol 34 (9) ◽  
pp. 1419-1423 ◽  
Author(s):  
Norihito Hosoi ◽  
Takashi Saito ◽  
Katsuhiko Suzuki
2009 ◽  
Vol 42 (12) ◽  
pp. 1802-1807 ◽  
Author(s):  
Shinichi Maeda ◽  
Yoshito Ogura ◽  
Keiichirou Uchikura ◽  
Kousei Maemura ◽  
Hiroyuki Shinchi ◽  
...  

2020 ◽  
Author(s):  
Katalin Eitler ◽  
Zoltan Mathe ◽  
Veronika Papp ◽  
Attila Zalatnai ◽  
Andras Bibok ◽  
...  

Abstract Background. Situs inversus totalis is a rare anatomical variation of both the thoracic and the abdominal organs. Common bile duct strictures can be caused by malignant and benign diseases as well. 7-18% of the latter ones are 'malignant masquerade’ cases, as pre-operative differentiation is difficult. Case presentation. We present the case of a 68y male patient with known situs inversus totalis and a recent onset of obstructive jaundice caused by a malignant behaving common bile duct stricture. Technically difficult endoscopic retrograde cholangiopancreatography, brush cytology, magnetic resonance cholangiopancreatography, endoscopic ultrasound, and percutaneous transhepatic drainage with stent implantation were performed for proper diagnosis. Cholecystectomy, common bile duct resection with hilar lymphadenectomy and a hepatico-jejunostomy has been performed following multidisciplinary consultation. The final histology report did not confirm any clear malignancy, the patient is doing well.Conclusion. In situs inversus patients, both diagnostic and therapeutic procedures can lead to various difficulties. Benign biliary strictures are frequently misdiagnosed preoperatively as cholangiocellular carcinoma. The surgery is usually unavoidable, involving a significant risk of complications.The co-existence of these two difficult diagnostic and therapeutic features made our case challenging.


2006 ◽  
Vol 73 (3) ◽  
pp. 164-168 ◽  
Author(s):  
Hiroshi Yoshida ◽  
Yasuhiro Mamada ◽  
Nobuhiko Taniai ◽  
Yoshiaki Mizuguchi ◽  
Tetsuya Shimizu ◽  
...  

1991 ◽  
Vol 24 (8) ◽  
pp. 2246-2250
Author(s):  
Kenji Kobayashi ◽  
Kenzo Yasui ◽  
Mitsunori Yasue ◽  
Seiichi Miyaishi ◽  
Hiroaki Nakazato ◽  
...  

2019 ◽  
Vol 89 (11) ◽  
pp. 1527-1527
Author(s):  
Qingbo Feng ◽  
Jun Liu ◽  
Jie Yao

2016 ◽  
Vol 29 (11) ◽  
pp. 1358-1369 ◽  
Author(s):  
Raul S Gonzalez ◽  
Pelin Bagci ◽  
Olca Basturk ◽  
Michelle D Reid ◽  
Serdar Balci ◽  
...  

2009 ◽  
Vol 70 (6) ◽  
pp. 1825-1830 ◽  
Author(s):  
Takahiro SHIMAMURA ◽  
Takeshi KAWAMURA ◽  
Kuniaki SASAKI ◽  
Tadaaki NOGUCHI ◽  
Muneo KAWAMURA ◽  
...  

2004 ◽  
Vol 37 (5) ◽  
pp. 562-567
Author(s):  
Naomasa Uesugi ◽  
Katsura Tanzan ◽  
Eiichiro Yamaguchi ◽  
Takashi Nakamura ◽  
Motohiro Takesige ◽  
...  

2015 ◽  
Vol 143 (5-6) ◽  
pp. 337-340 ◽  
Author(s):  
Igor Ignjatovic ◽  
Slavko Matic ◽  
Vladimir Dugalic ◽  
Djordje Knezevic ◽  
Marjan Micev ◽  
...  

Introduction. Autoimmune cholangitis or immunoglobulin G4-associated cholangitis (IAC) has been recently regarded as a new clinical and histopathological entity and is a part of a complex autoimmune disorder - IgG4-related systemic disease (ISD). ISD is an autoimmune disease with multi-organic involvement, characterized with IgG4-positive plasmocytic infiltration of various tissues and organs with a consequent sclerosis, which responds well to steroid therapy. Most commonly affected organs are the pancreas (autoimmune pancreatitis, [AIP]) and the common bile duct (IAC). IAC and cholangiocarcinoma (CCA) share many clinical, laboratory and imaging findings. Case Outline. We present a case of a 60-year-old male with a biliary stricture of a common bile duct, which was clinically considered as a bile duct carcinoma and treated surgically. Definite histopathological findings and immunohistochemistry revealed profound chronic inflammation, showing lymphoplasmacytic IgG-positive infiltration of a resected part of a common bile duct, highly suggestive for the diagnosis of IAC. In addition, postoperative IgG4 serum levels were also increased. Conclusion. It is of primary clinical importance to make a difference between IAC and CCA, in order to avoid unnecessary surgical intervention. Therefore, IAC should be considered in differential diagnosis in similar cases.


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