keyword
https://read.qxmd.com/read/35638038/biliary-complications-after-adult-to-adult-right-lobe-living-donor-liver-transplantation-a-arlldlt-analysis-of-245-cases-during-16-years-period-at-a-single-high-centre-a-retrospective-cohort-study
#1
JOURNAL ARTICLE
Emad Hamdy Gad, Eslam Ayoup, Amr M Aziz, Tarek Ibrahim, Mostafa Elhelbawy, Mohammed Al-Sayed Abd-Elsamee, Ahmed Nabil Sallam
Objectives: Biliary complications (BCs) after adult to adult living donor liver transplantation (A-ALDLT) result in poor graft and patient survival. This study aimed to analyze these complications. Methods: We retrospectively analyzed BCs in 245 recipients who underwent A-ALDLT using the right-lobe graft during 16 years period in our centre. The overall male/female ratio was 215/30. Results: One hundred fifty-five BCs affected 102 of our recipients (95 early (≤3months) and 60 late (≥3months))...
May 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/35036011/a-case-report-of-covid-19-evoked-cholangitic-liver-abscess
#2
Omkolsoum Alhaddad, Maha Elsabaawy, Ahmed Edrees, Essam Elshimy, Dalia Elsabaawy, Tarek Mansour
BACKGROUND: Lately, the humanity has been being threatened by the coronavirus disease (COVID-19). The virus-related destructive motives can damage not only the lungs but also the brain, blood vessels, kidneys, and the heart. CASE PRESENTATION: A middle-aged female presented with jaundice post-COVID-19 pneumonia. The patient had past history of cholecystectomy 20 years ago. Both laboratory and imaging data revealed a picture of cholestasis with right lobe liver abscess...
2022: Egyptian liver journal
https://read.qxmd.com/read/34772687/hepatic-artery-pseudoaneurysm-secondary-to-a-cholangitic-abscess-and-its-spontaneous-thrombosis
#3
JOURNAL ARTICLE
Maninder Kaur, Harsimran Bhatia, Gaurav Muktesh, Pankaj Gupta
Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP...
November 12, 2021: BMJ Case Reports
https://read.qxmd.com/read/33994714/management-practices-and-predictors-of-outcome-of-liver-abscess-in-adults-a-series-of-1630-patients-from-a-liver-unit
#4
JOURNAL ARTICLE
Ankur Jindal, Apurva Pandey, Manoj K Sharma, Amar Mukund, Rajan Vijayaraghavan, Vinod Arora, Saggere M Shasthry, Ashok Choudhary, Shiv K Sarin
BACKGROUND: The management practices of liver abscess (LA) have evolved over time. The precise diagnosis of etiology and complications is pivotal for appropriate management. METHODS: Descriptive analyses of consecutive patients treated for LA using electronic medical records at a liver unit between years 2010 and 2020 and investigate relationships between clinical, imaging, laboratory and microbiological findings, treatment strategies and mortality. RESULTS: Of 1630 LA patients, the most common aetiologies were amoebic liver abscess (ALA; 81%) and pyogenic liver abscess (PLA; 10...
2021: Journal of Clinical and Experimental Hepatology
https://read.qxmd.com/read/33364699/mucinous-cystic-neoplasm-of-the-liver-and-extrahepatic-biliary-tract-with-ascending-cholangitis-a-case-report-and-review-of-the-literature
#5
Teerthanath Srinivas, Shubha P Bhat, Geoffrey Sunder, Ranjith Sivarajan
Mucinous cystic neoplasms of the liver involving the extrahepatic biliary tract is a rare slow-growing benign neoplasm of biliary system that has an early clinical presentation with obstructive jaundice. These tumors have a high risk of malignant transformation, which is difficult to diagnose preoperatively by radiology or endoscopy. We present a 31-year-old female patient who presented with complaints of pain abdomen, vomiting, fever, and obstructive jaundice. Ultrasound abdomen showed features suggestive of cholangitic abscess...
September 2020: Indian Journal of Surgical Oncology
https://read.qxmd.com/read/33313209/bronchopleurobiliary-fistula-following-right-lower-lobectomy-in-a-patient-with-prior-hepatic-abscess-a-case-report
#6
Jong Hui Suh, Chan Beom Park
In a 68-year-old male patient with cholangitis microabscess in the liver, cavitary lung cancer of the right lower lobe was incidentally diagnosed. The patient's medical history comprised totally laparoscopic distal gastrectomy (TLDG) and cholecystectomy 9 years ago. Before TLDG, endoscopic retrograde cholangiopancreatography (ERCP) was performed because of a common bile duct stone and cholangitis. Three months ago, he was readmitted with cholangitic microabscess, and a cavitary lesion of right lower lobe was detected incidentally...
November 2020: Annals of Translational Medicine
https://read.qxmd.com/read/32762304/retained-biliary-plastic-stents-lest-we-forget
#7
JOURNAL ARTICLE
Rajeeb Jaleel, Ebby G Simon, Piyush Gupta, Itish Patnaik, Deepu David, Sudipta D Chowdhury
Prolonged indwelling of endoscopically placed biliary plastic stents may lead to complications. We conducted a retrospective analysis of patients who underwent endoscopic retrograde cholangio-pancreaticography (ERCP) at our centre in 2017 and were noted to have retained biliary plastic stents ( > 3 months after an index ERCP). A total of 127 patients had previously placed biliary plastic stents, out of which 45 (35.4%) were retained. The median age of the latter was 52 years (range = 22-79 years) with 27 (60%) patients being men...
April 2021: Tropical Doctor
https://read.qxmd.com/read/31971831/salvage-ptbd-in-post-living-donor-liver-transplant-patients-with-biliary-complications-a-single-centre-retrospective-study
#8
JOURNAL ARTICLE
Amar Mukund, Ashok Choudhury, Swati Das, Viniyendra Pamecha, Shiv Kumar Sarin
OBJECTIVE: To study the outcome of salvage percutaneous transhepatic biliary drainage (PTBD) in complex and technically challenging post-liver transplant (LT) biliary complications and analyse the reason for failure of endoscopic retrograde cholangiopancreatography (ERCP). METHODS AND MATERIALS: Hospital data were searched for all LT patients with biliary complications requiring salvage PTBD (upon failure of ERCP) from January 2010 to May 2017. Patients who underwent primary PTBD were excluded...
April 2020: British Journal of Radiology
https://read.qxmd.com/read/31798279/segmental-intrahepatic-cholestasis-as-a-technical-complication-of-the-transjugular-intrahepatic-porto-systemic-shunt
#9
JOURNAL ARTICLE
Julian Nikolaus Bucher, Marcus Hollenbach, Steffen Strocka, Gereon Gaebelein, Michael Moche, Thorsten Kaiser, Michael Bartels, Albrecht Hoffmeister
BACKGROUND: Segmental intrahepatic cholestasis caused by transjugular intrahepatic portosystemic shunt (TIPS) (SIC-T), is a rare complication of this technique and only referred by case reports. Thus, we conducted a systematic, retrospective analysis to provide evidence regarding prevalence and consequences of this TIPS-induced bile duct compression. AIM: To assess prevalence and outcome of SIC-T in a large TIPS-cohort. METHODS: In this retrospective cohort study, we screened the institutional databases for all consecutive patients that were treated by TIPS-placement or TIPS-revision between January 2005 and August 2013...
November 21, 2019: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/28012336/forgotten-cbd-stent-102-months-with-stone-stent-complex-a-case-report
#10
JOURNAL ARTICLE
Varsha Barai, Jagadish Hedawoo, Sanjay Changole
INTRODUCTION: Choledocholithiasis is presence of stone in Common bile duct (CBD) which can be treated by endoscopy or surgery [1]. Retained foreign bodies like stents forms a nidus for stone formation resulting in pain, fever, jaundice. CASE PRESENTATION: 60 years female patient admitted in surgery ward with features of cholangitis with computed tomography showing cholangitic abscess with dilated common bile duct and sludge around stent in situ. Stone was found at proximal end of stent during surgery...
2017: International Journal of Surgery Case Reports
https://read.qxmd.com/read/27509701/multidetector-computed-tomography-evaluation-of-post-cholecystectomy-complications-a-tertiary-care-center-experience
#11
JOURNAL ARTICLE
Ujjwal Gorsi, Pankaj Gupta, Naveen Kalra, Mandeep Kang, Rajinder Singh, Rajesh Gupta, Vikas Gupta, Niranjan Khandelwal
OBJECTIVE: To evaluate the role of multidetector computed tomography (CT) and CT angiography (CTA) in post cholecystectomy complications. METHODS: A retrospective analysis of data from December 2012 to August 2014 was performed. Eight hundred sixty consecutive patients with history of cholecystectomy (laparoscopic or open) were evaluated. After exclusion of 645 patients with normal imaging, analysis for post cholecystectomy complications was performed in 215 patients...
2015: Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation
https://read.qxmd.com/read/27340588/rapid-resolution-of-cholangitic-abscess-and-biliary-sepsis-in-a-liver-transplant-recipient-after-hepatic-artery-revascularization
#12
JOURNAL ARTICLE
Sushrut Trakroo, Kamran Qureshi
Hepatic arterial flow is paramount in preserving biliary integrity. We present an interesting clinical scenario of a liver transplant recipient with biliary anastomotic stricture who developed biliary abscess and sepsis after Endoscopic Retrograde Cholangiopancreatography. The abscess did not respond to maximal medical management, percutaneous drainage, and adequate endoscopic biliary drainage. Clinically, patient continued to deteriorate and imaging identified hepatic artery stenosis which was treated with percutaneous intra-arterial stenting...
2016: Case Reports in Transplantation
https://read.qxmd.com/read/27081232/radiological-management-of-multiple-hepatic-artery-pseudoaneurysms-associated-with-cholangitic-abscesses
#13
Ankur Goyal, Kumble S Madhusudhan, Shivanand Gamanagatti, Bhaskar Baruah, Shalimar, Raju Sharma
Hepatic artery pseudoaneurysms (HAP) are uncommon, occurring mostly as a complication of trauma (accidental or iatrogenic). Liver abscess rarely causes HAP and multiple HAP associated with cholangitic abscesses have not been reported in the literature. We present a patient of acute necrotizing pancreatitis with stent block cholangitis and multiple cholangitic abscesses who developed hemorrhagic output through drainage catheter in the liver abscess. A multiphasic CT angiography demonstrated three HAP, which were treated with a combination of endovascular coil embolization and percutaneous thrombin injection...
January 2016: Indian Journal of Radiology & Imaging
https://read.qxmd.com/read/26921534/hepaticojejunostomy-for-the-management-of-sump-syndrome-arising-from-choledochoduodenostomy-in-a-patient-who-underwent-bariatric-roux-en-y-gastric-bypass-a-case-report
#14
JOURNAL ARTICLE
Mohammed S Alqahtani, Shadi A Alshammary, Enas M Alqahtani, Shoukat A Bojal, Amal Alaidh, Gelu Osian
INTRODUCTION: Rapid weight loss following bariatric surgery is associated with high incidence of gallstones and complications that may need bilioenteric diversion. This presents a specific challenge in the management of this group of patients. CASE PRESENTATION: A 37 years old female underwent a Roux-en-Y gastric bypass (RYGB) in 2008 for morbid obesity. In 2009 she presented with obstructive jaundice and was diagnosed with choledocholithiasis successfully managed by open cholecystectomy and choledochoduodenostomy...
2016: International Journal of Surgery Case Reports
https://read.qxmd.com/read/26656347/secondary-sclerosing-cholangitis-in-critically-ill-patients-clinical-presentation-cholangiographic-features-natural-history-and-outcome-a-series-of-16-cases
#15
JOURNAL ARTICLE
Silke Leonhardt, Wilfried Veltzke-Schlieker, Andreas Adler, Eckart Schott, Dennis Eurich, Wladimir Faber, Peter Neuhaus, Daniel Seehofer
Secondary sclerosing cholangitis in critically ill patients (SSC-CIP) is an important differential diagnosis in patients presenting with cholestasis and PSC-like cholangiographic changes in endoscopic retrograde cholangiography (ERC). As a relatively newly described entity, SSC-CIP is still underdiagnosed, and the diagnosis is often delayed. The present study aims to improve the early detection of SSC-CIP and the identification of its complications.A total of 2633 records of patients who underwent or were listed for orthotopic liver transplantation at the University Hospital Charité, Berlin, were analyzed retrospectively...
December 2015: Medicine (Baltimore)
https://read.qxmd.com/read/26157820/emphysematous-cholecystitis-resulting-in-secondary-biliary-cirrhosis-a-rare-complication-of-endoscopic-retrograde-cholangiopancreatography
#16
Khurram Bari, Harry R Aslanian, Jeffrey Pollak, Eric Reiner, Ronald R Salem, Tamar H Taddei, Sukru H Emre, Priya A Jamidar
A 48-year-old female developed acute emphysematous cholecystitis after an endoscopic retrograde cholangiopancreatography (ERCP) for evaluation of sphincter of Oddi dysfunction. Cholecystectomy was performed 2 days later. Cultures grew Clostridium perfringens. The patient received broad-spectrum antibiotics but developed recurrent cholangitic abscesses and intra- and extra-hepatic biliary necrosis. She was managed by percutaneous transhepatic biliary drains. For next 3 years, patient had recurrent episodes of biliary obstruction, cholangitis, and sepsis, resulting in secondary biliary cirrhosis requiring a liver transplantation...
October 2013: ACG Case Reports Journal
https://read.qxmd.com/read/23599579/biliary-fascioliasis-management-in-a-child-using-endoscopic-retrograde-cholangio-pancreatography
#17
Sandesh V Parelkar, Sanjay N Oak, Amit Maydeo, Beejal V Sanghvi, Prashant B Joshi, Nitin Chaubal, Rajasekhara T Patil, Subrat K Sahoo, Patel Jiwan Lal, Nandita Sampath, Avani Koticha
A 9-year-old boy presented with right upper abdominal pain and fever. The radiologic investigations revealed multiple cholangitic abscesses with cholangitis and worms in common bile duct. Endoscopic retrograde cholangio pancreatographic (ERCP) sphincterotomy, basketing, ballooning and extraction of Fasciola hepatica worms from the common bile duct were done.
January 2013: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/22856436/percutaneous-transhepatic-self-expanding-metal-stents-for-palliation-of-malignant-biliary-obstruction
#18
JOURNAL ARTICLE
A J Lawson, S J Beningfield, J E J Krige, P Rischbieter, S Burmeister
BACKGROUND: Malignant biliary obstruction is often inoperable at presentation and has a poor prognosis. Percutaneously placed self-expanding metal stents (SEMS) have been widely used for palliation of malignant biliary obstruction as an alternative to major bypass surgery or when endoscopic drainage is not technically feasible. The success rate, procedural complications and outcomes in patients who underwent placement of SEMS in a tertiary referral centre are presented. METHODS: All patients who had percutaneous transhepatic cholangiography (PTC) and SEMS for palliation of malignant biliary obstruction between May 2008 and July 2010 at Groote Schuur Hospital, Cape Town, were reviewed...
July 11, 2012: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://read.qxmd.com/read/20361845/pyogenic-versus-amoebic-liver-abscesses-a-comparative-clinical-study-in-a-series-of-58-patients
#19
COMPARATIVE STUDY
A Cosme, E Ojeda, I Zamarreño, L Bujanda, G Garmendia, M J Echeverría, J Benavente
OBJECTIVE: To compare the clinical and epidemiological characteristics of patients with pyogenic liver abscess (PLA) and with amebic liver abscess (AHA) in order to determine the potential factors that may help improve diagnosis and treatment for this disease. MATERIAL AND METHOD: A retrospective study of clinical histories of 45 patients with PLA and 13 with ALA, diagnosed between 1985 and 2005 in Donostia Hospital in San Sebastián. RESULTS: Among the 45 patients with PLA (30 men and 15 women, with a mean age of 61 years and 11 months), more than a half were cholangitic (13 cases) or were of unknown origin (15 cases)...
February 2010: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/12942620/-prevention-and-treatment-of-opisthorchiasis-of-the-liver
#20
JOURNAL ARTICLE
G N Khabas
Rare cases of lethal outcomes after surgical operations on the liver were analyzed which were caused by invasion of helminth Opisthorchis felineus. It was shown that prolonged and massive invasion, in the absence of specific treatment, can result in failure of the compensatory potencies of the liver. It occurs mainly due to activation of the pathogenic flora in the bile tree against the background of the intraductal hypertension characteristic of opisthorchiasis. Destructive purulent cholangitis, cholangitic abscesses in the liver and suppuration of opisthorchiasis cysts can develop...
2003: Vestnik Khirurgii Imeni I. I. Grekova
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