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Annals of Surgery Aug 1985Fifty-three patients were evaluated for carcinoma of the extrahepatic bile ducts at the University of Virginia from 1951 to April 1984. This population was...
Fifty-three patients were evaluated for carcinoma of the extrahepatic bile ducts at the University of Virginia from 1951 to April 1984. This population was retrospectively reviewed and 33 preoperative and postoperative variables were analyzed to evaluate the predictors of increased survival. No preoperative data, including symptoms, admitting laboratory data, or tumor location, predicted increased survival. Whipple resection yielded a median survival of 12 months; palliative resections, 1.5 months; and laparotomy, only 5.5 months; these differences were not statistically significant. Experience with six patients treated with internal radiation (iridium-192), plus as much as 4000 rads of external beam irradiation, suggests that this combination of radiation treatment may aid palliation.
Topics: Adenoma, Bile Duct; Adult; Aged; Bile Duct Neoplasms; Cholangiography; Common Bile Duct Neoplasms; Duodenum; Female; Hepatectomy; Humans; Male; Middle Aged; Pancreatectomy; Prognosis; Retrospective Studies
PubMed: 2990361
DOI: 10.1097/00000658-198508000-00001 -
Gastroenterology May 2013
Topics: Bile Duct Diseases; Cholangiopancreatography, Endoscopic Retrograde; Cystic Duct; Diagnosis, Differential; Humans; Male; Middle Aged; Sphincterotomy, Endoscopic
PubMed: 23523848
DOI: 10.1053/j.gastro.2013.01.007 -
BMJ Case Reports Mar 2015Cystic duct carcinoma was defined by Farrar as a tumour restricted to the cystic duct, making it a rare disease. The authors describe a case of a cystic duct carcinoma...
Cystic duct carcinoma was defined by Farrar as a tumour restricted to the cystic duct, making it a rare disease. The authors describe a case of a cystic duct carcinoma that fulfils Farrar's strict diagnostic criteria and that became clinically relevant by compressing the common hepatic duct, thus causing cholestasis. A cholecystectomy was performed with en bloc resection of the cystic and extrahepatic bile duct with a regional lymphadenectomy.
Topics: Bile Duct Neoplasms; Cholangiopancreatography, Magnetic Resonance; Cholecystectomy; Cholestasis; Constriction, Pathologic; Cystic Duct; Diagnosis, Differential; Female; Hepatic Duct, Common; Humans; Middle Aged
PubMed: 25819819
DOI: 10.1136/bcr-2014-208813 -
The American Journal of Gastroenterology Feb 1999We report a case of an extrahepatic bile duct metastasis from a gallbladder cancer that mimicked Mirizzi's syndrome on cholangiography. A 67-yr-old woman was admitted to...
We report a case of an extrahepatic bile duct metastasis from a gallbladder cancer that mimicked Mirizzi's syndrome on cholangiography. A 67-yr-old woman was admitted to our hospital with a diagnosis of acute calculous cholecystitis. As obstructive jaundice developed after the admission, percutaneous transhepatic biliary drainage was performed to ameliorate the jaundice and to evaluate the biliary system. Tube cholangiography revealed bile duct obstruction at the hepatic hilus, and extrinsic compression of the lateral aspect of the common hepatic duct, with nonvisualization of the gallbladder. No impacted cystic duct stone was visualized on CT or ultrasonography. Laparotomy revealed a gallbladder tumor as well as an extrahepatic bile duct tumor. We diagnosed that the latter was a metastasis from the gallbladder cancer, based on the histopathological features. This case is unique in that the extrahepatic bile duct metastasis obstructed both the common hepatic duct and the cystic duct, giving the appearance of Mirizzi's syndrome on cholangiography. Metastatic bile duct tumors that mimic Mirizzi's syndrome have not been previously reported. The presence of this condition should be suspected in patients with the cholangiographic features of Mirizzi's syndrome, when the CT or ultrasonographic findings fail to demonstrate an impacted cystic duct stone.
Topics: Adenocarcinoma; Aged; Bile Duct Neoplasms; Bile Ducts, Extrahepatic; Cholangiography; Cholelithiasis; Cholestasis, Extrahepatic; Cystic Duct; Diagnosis, Differential; Female; Gallbladder Neoplasms; Hepatic Duct, Common; Humans; Syndrome
PubMed: 10022655
DOI: 10.1111/j.1572-0241.1999.885_n.x -
Digestive Surgery 1998
Topics: Bile Duct Neoplasms; Carcinoid Tumor; Cholecystectomy; Cholelithiasis; Cystic Duct; Diagnosis, Differential; Female; Humans; Immunohistochemistry; Middle Aged; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 9845617
DOI: 10.1159/000018635 -
Hepato-gastroenterology 2000This is a case presentation of a 14-year-old boy with the radiological diagnosis of cholangiocarcinoma occluding the hepatic duct bifurcation. His only symptom at... (Review)
Review
This is a case presentation of a 14-year-old boy with the radiological diagnosis of cholangiocarcinoma occluding the hepatic duct bifurcation. His only symptom at presentation was jaundice and further workup confirmed a mass at the porta hepatis. Surgical treatment resulted in a resection of the hepatic bifurcation tumor with a final pathological diagnosis of a carcinoid tumor of the hepatic duct bifurcation. To our knowledge, this is only the second case presented of a resected carcinoid tumor in adolescence. In this communiqué we present the above case and review of the world literature of biliary neuroendocrine tumors.
Topics: Adolescent; Bile Duct Neoplasms; Carcinoid Tumor; Cholangiopancreatography, Endoscopic Retrograde; Cholestasis, Extrahepatic; Diagnosis, Differential; Hepatic Duct, Common; Humans; Klatskin Tumor; Male
PubMed: 10791227
DOI: No ID Found -
Veterinary Pathology Jul 1995Published surveys of feline neoplasia have not specifically included biliary cystadenoma, and there is only one case report in the literature. This report is a... (Review)
Review
Published surveys of feline neoplasia have not specifically included biliary cystadenoma, and there is only one case report in the literature. This report is a compilation of 13 feline cases and provides a description of clinical, pathologic, immunohistochemical, and ultrastructural aspects of biliary cystadenoma as well as a discussion of comparative pathology of biliary cystadenoma in human beings and speculative histogenesis.
Topics: Adenoma, Bile Duct; Animals; Bile Duct Neoplasms; Cat Diseases; Cats; Cystadenoma; Female; Immunohistochemistry; Keratins; Liver; Male; Microscopy, Electron
PubMed: 7483217
DOI: 10.1177/030098589503200411 -
World Journal of Gastroenterology Sep 2014Bile duct injuries (BDIs) are difficult to avoid absolutely when the biliary tract has a malformation, such as accessory hepatic duct. Here, we investigated the...
Bile duct injuries (BDIs) are difficult to avoid absolutely when the biliary tract has a malformation, such as accessory hepatic duct. Here, we investigated the management strategies for BDI combined with accessory hepatic duct during laparoscopic cholecystectomy.
Topics: Cholecystectomy, Laparoscopic; Common Bile Duct; Hepatic Duct, Common; Humans; Jejunostomy; Ligation; Reoperation; Stents; Suture Techniques; Time Factors; Treatment Outcome
PubMed: 25232275
DOI: 10.3748/wjg.v20.i34.12363 -
Journal of Medical Case Reports Jun 2017Rupture of the common bile duct is a life-threatening condition, usually observed after a trauma or in association with choledocholithiasis or an obstructive tumor of...
BACKGROUND
Rupture of the common bile duct is a life-threatening condition, usually observed after a trauma or in association with choledocholithiasis or an obstructive tumor of the bile duct. However, a spontaneous rupture of the common bile duct is a rare entity.
CASE PRESENTATION
We report a new observation of a spontaneous rupture of the common bile duct, associated with biliary peritonitis and pancreatitis, in a 15-year-old North African girl. Etiological aspects, specificities of clinical presentation, means of diagnosis, as well as surgical and perioperative management are discussed.
CONCLUSIONS
The diagnosis of spontaneous rupture of the common bile duct is a challenge for both radiologist and surgeon. Beyond the difficulty of diagnosis, which requires radiological exploration, management of the subsequent biliary peritonitis involves urgent surgery, life-supporting measures, and close monitoring.
Topics: Abdominal Pain; Acute Disease; Adolescent; Anti-Bacterial Agents; Bile Duct Diseases; Cholangiography; Cholecystectomy; Female; Fever; Hepatic Duct, Common; Humans; Pancreatitis; Peritoneal Lavage; Peritonitis; Rupture, Spontaneous; Treatment Outcome
PubMed: 28633652
DOI: 10.1186/s13256-017-1283-6 -
Journal of Gastrointestinal and Liver... Sep 2019
Topics: Biopsy; Cholangiopancreatography, Magnetic Resonance; Cilia; Cysts; Female; Hepatic Duct, Common; Humans; Liver Diseases; Middle Aged
PubMed: 31517321
DOI: 10.15403/jgld-419