Biliary tract schwannoma:A rare case of obstructive jaundice in a middle aged gentleman.

Aim: Evaluation of the effectiveness of percutaneous transhepatic cholangiography in the diagnostics of bile duct diseases complicated by obstructive jaundice. Material and methods: This article presents the experience of using percutaneous transhepatic cholangiography in 88 patients with benign and malignant common bile duct diseases complicated by obstructive jaundice. Results: Methods of direct contrasting of the biliary tract make it possible to visualize choledocholithiasis with 86.5% accuracy, with 84.1% common bile duct strictures, with 87.8% stricture of biliodigestive anastomosis and with 97.5% accuracy of cholangiocarcinomas. Conclusions: Direct antegrade bile duct enhancement should be used if ERCPG has low explanatory value. PTCG in case of “endoscopically complicated forms” of choledocholithiasis, CBD and BDA strictures and cholangiocarcinomas enhances all bile duct sections and helps assess the level and completeness of biliary blockade. Following PTCG, measures can be taken to achieve biliary decompression regardless of OJ genesis.

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Rhabdomyosarcoma of the biliary tract: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20171734 ◽

2017 ◽

Vol 4 (3) ◽

pp. 1093 ◽

Cited By ~ 1

Author(s):

Asmaa Kouadir ◽

Abderrahmane El Mazghi ◽

Khalid Hassouni

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Obstructive Jaundice ◽

Biliary Tract ◽

Clinical Symptoms ◽

Treatment Approach ◽

Imaging Techniques ◽

Multidisciplinary Treatment ◽

Rare Tumor ◽

The Common

Rhabdomyosarcoma (RMS) of the biliary tract is a rare tumor that commonly arises from the common bile duct. The most common clinical symptoms are obstructive jaundice and abdominal pain. Although diagnosis is often difficult and is frequently made during surgery, diagnostic imaging techniques including ultrasound, computerized tomography scan, and magnetic resonance cholangiopancreatography remain useful in the diagnosis and evaluation of biliary tree anatomy. In order to improve prognosis, different rhabdomyosarcoma study groups have adopted multidisciplinary treatment approach. Herein we describe a case of three-year-old child with Embryonal rhabdomyosarcoma originating in the common bile duct who was treated with surgery, chemotherapy according to European soft tissue sarcoma group (EpSSG) protocol and adjuvant postoperative intensity modulated radiotherapy to surgical bed with 6 MV photons to a dose of 41, 4Gy in 23 fractions. One year and a half after the end of therapy, the patient is still disease free. Although Rhabdomyosarcoma of the biliary tract is a rare tumor, it should be considered in the differential diagnosis of patients who have obstructive jaundice and a cystic mass within the common bile duct. Once believed to be an incurable disease, the prognosis of patients with biliary rhabdomyosarcoma has improved with a multidisciplinary treatment approach.

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Endoscopic surgeries and correction of homeostasis disorders in patients with obstructive jaundice

Kazan medical journal ◽

10.17750/kmj2015-444 ◽

2015 ◽

Vol 96 (3) ◽

pp. 444-447

Author(s):

I S Malkov ◽

G R Zakirov ◽

V N Korobkov ◽

M N Nasrullayev

Keyword(s):

Obstructive Jaundice ◽

Liver Failure ◽

Biliary Tract ◽

Comprehensive Treatment ◽

Treatment Results ◽

Endoscopic Papillotomy ◽

Invasive Approach ◽

Endoscopic Techniques ◽

Endoscopic Methods ◽

Pancreatic Sphincterotomy

Aim. To improve the treatment results of patients with obstructive jaundice using endoscopic methods for restoring biliary tract patency. Methods. A retrospective analysis of treatment results of 636 patients, treated in the surgical departments of City Clinical Hospital №7, Kazan, Russia in 2004-2014 with obstructive jaundice induced by tumors and other diseases was performed. Results. It was revealed that using endoscopic techniques for biliary system decompression allows to improve the treatment results. Our observations of patients 2014 with obstructive jaundice induced by tumors and other diseases suggest that the most important element of a comprehensive treatment of such patients is the earliest possible biliary tract decompression using minimally invasive approach, including endoscopic papillotomy and biliary tract stenting. The liver failure stage is an important criterion that defines patient management in case of obstructive jaundice. In patients with obstructive jaundice, treatment of endogenous toxemia and liver failure, according to the contemporary approaches, is based on drug administration and infusions of the required volume and contents, associated with one of the methods for biliary decompression therapy adequate in its formula and size. Conclusion. Endoscopic surgeries are indicated in the majority of acute, recurrent, and chronic large duodenal papilla obstruction cases. Performing endoscopic retrograde cholangiopancreatography, endoscopic pancreatic sphincterotomy in obstructive jaundice not associated with biliary tumors may refuse the surgical approach or reduce its volume and surgical injury.

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Keratocystic Odontogenic Tumor of the Maxilla: Report of a Rare Case and Review of Literature

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1137 ◽

2012 ◽

Vol 3 (1) ◽

pp. 100-108 ◽

Cited By ~ 2

Author(s):

A Nagaraja ◽

Praveen S Anigol ◽

Venkatesh Vishwanath Kamath ◽

Krishnanand P Setlur

Keyword(s):

Rare Case ◽

Third Molar ◽

Odontogenic Tumor ◽

Odontogenic Keratocyst ◽

Keratocystic Odontogenic Tumor ◽

Review Of Literature ◽

Middle Aged ◽

Maxillary Third Molar ◽

Aged Individual ◽

Extensive Involvement

ABSTRACT The odontogenic keratocyst (OKC) has recently been reclassified by the WHO (2005), as keratocystic odontogenic tumor (KCOT) based on clinical, histological and immunohistochemical parameters. KCOT more commonly occurs in the mandible and cases involving the maxilla are infrequent. We report an unusual and rare case of a KCOT of the maxilla in a middle-aged individual with extensive involvement and displacement of the maxillary third molar to the zygomatic region. A discussion of the parameters involved in the reclassification of the lesion as a tumor is presented alongwith a review of literature. How to cite this article Nagraja A, Anigol PS, Kamath VV, Setlur KP. Keratocystic Odontogenic Tumor of the Maxilla: Report of a Rare Case and Review of Literature. World J Dent 2012;3(1):100-108.

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Mucin-filled CBD, difficult to manage cholangitis

BMJ Case Reports ◽

10.1136/bcr-2020-238363 ◽

2021 ◽

Vol 14 (1) ◽

pp. e238363

Author(s):

Manish Kumar ◽

Ujjwal Sonika ◽

Sanjeev Sachdeva ◽

Ashok Dalal

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Obstructive Jaundice ◽

Rare Case ◽

Malignant Potential ◽

Cystic Neoplasm ◽

Stricture Formation ◽

Intraductal Papillary Mucinous Neoplasms ◽

Mucinous Neoplasms ◽

Optimum Management

Intraductal papillary mucinous neoplasms (IPMNs) are mucin-secreting cystic neoplasm of pancreas. They have a malignant potential. They are usually localised to the pancreas but occasionally can involve surrounding structures (1.9%–6.6%), like bile duct and duodenum, and are labelled as IPMN with invasion. Jaundice as a manifestation of IPMN is not common (4.5%). It can present as jaundice as a result of invasion of common bile duct (CBD) resulting in stricture formation or uncommonly as a result of fistulising to CBD with resultant obstruction of CBD by thick mucin secreted by this tumour. As only few cases (around 23) of mucin-filled CBD are reported in the literature. We are presenting our experience in dealing a rare case of obstructive jaundice caused by IPMN fistulising into CBD, highlighting the difficulties faced in managing such case, especially with regards to biliary drainage and what can be the optimum management in such cases.

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A RARE CASE OF MAY- THURNER SYNDROME

10.36106/gjra/8100743 ◽

2021 ◽

pp. 17-19

Author(s):

B. Santhi ◽

Manigandan Manigandan ◽

Nishok Nishok

Keyword(s):

Iliac Artery ◽

Lower Limb ◽

Rare Case ◽

Common Iliac Artery ◽

Iliac Vein ◽

Common Iliac Vein ◽

Middle Aged ◽

Unique Case ◽

Left Common Iliac Vein ◽

Left Lower Limb

May-Thurner syndrome (MTS) is a venous outow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic.We report a unique case of a 25 -year-old male who presented with MTS-related multiple varicosities in left lower limb.

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