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Duct of Luschka

Archana Shetty, Mudasser Rehan, V Geethamani
Xanthogranulomatous Cholecystitis (XGC) is an uncommon inflammatory condition of gall bladder, which is often misdiagnosed as malignancy preoperatively, leading to extensive surgical resections which may not be necessary for the patient. Ducts of Luschka are a rare developmental variant of the biliary tree, which are prone to injury and bile leak during cholecystectomy. We report a case of a 52-year-old male patient who was taken up for surgery with a provisional diagnosis of chronic calculous cholecystitis...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
Hiroya Iida, Yoichi Matsui, Masaki Kaibori, Kosuke Matsui, Morihiko Ishizaki, Hiroshi Hamada, Masanori Kon
No abstract text is available yet for this article.
February 1, 2017: American Surgeon
Soon Young Ko, Jeong Rok Lee, Joon Ho Wang
A 51-year-old man underwent laparoscopic cholecystectomy for gallbladder stones. He had developed fever, chills, and abdominal pain four days after the procedure. In the drain tube, bile was persistently observed. An endoscopic retrograde cholangiopancreatography (ERCP) showed a leakage from the small duct into the right intrahepatic duct. We determined that the bile leak was caused by an injury to the ducts of Luschka. An endoscopic sphincterotomy (ES) using a 5-F nasobiliary tube (NBT) was performed, and the leak was resolved in five days...
February 25, 2017: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Hiroya Iida, Yoichi Matsui, Masaki Kaibori, Kosuke Matsui, Morihiko Ishizaki, Hiroshi Hamada, Masanori Kon
No abstract text is available yet for this article.
February 1, 2017: American Surgeon
Giancarlo Salsano, Francesco Paparo, Alessandro Valdata, Lorenzo Patrone, Marco Filauro, Gian Andrea Rollandi, Giovanni De Caro
No abstract text is available yet for this article.
March 2016: Cardiovascular and Interventional Radiology
B Doumenc, M Boutros, R Dégremont, A F Bouras
Anatomic variations in the biliary tract are common and can cause difficulties when a cholecystectomy is performed. One of the most common ones are hepaticocholecystic ducts and Luschka ducts, connecting the gallbladder or its bed to the bile ducts but distinction between these two types of ducts can be difficult. We do discuss here the differences between these anatomical variations, their origin and their clinical implications. These aberrant ducts may go unnoticed and may require further complementary procedures in case of postoperative biliary leakage...
March 2016: Morphologie: Bulletin de L'Association des Anatomistes
Zlatan Mehmedovic, Majda Mehmedovic, Jasmin Hasanovic
Although laparoscopic cholecystectomy has become a gold standard in treatment of symptomatic cholelithiasis, it is associated with higher risk of intraoperative lesions and primarily lesions of biliary ducts. In small percentage of cases biliary fistulas occur, most commonly after leakage from cystic duct stump or accessory bile ducts - Luschka's duct. We report of a patient who had episodes of abdominal pain following routine laparoscopic cholecystectomy for acute calculous gallbladder. Results of conducted diagnostics verify the presence of biliary fistula caused by obstruction of bile pathways by stagnant pus and microcalculi of common bile duct, with development of biloma presumably caused by pressure injection of contrast material during ERCP procedure...
April 2015: Acta Informatica Medica: AIM
S A Kutia
Eponyms are very commonly used in medicine. Eponyms serve the goal of honoring scientists who have made important contribution to medicine. The article describes widespread and seldom used eponyms found in biliary structures. Priority of discovery of the "Heister's valve", "Luschka's ducts", "sphincter of Odd", "Vater's papilla" was established. An author provides biographical sketches of physicians in whose honor some anatomic entities were named.
2014: Experimental & Clinical Gastroenterology
Sudesh Sharda, Anil Sharma, Rajesh Khullar, Vandana Soni, Manish Baijal, Pradeep Chowbey
Bilomas resulting as a complication of cholecystectomy are often due to a leak from an inadequately secured cystic duct stump, an accessory bile duct or a duct of Luschka in the gallbladder fossa of the liver. Occasionally, bilomas may have an unusual presentation. We describe here a rare case of biloma in the lesser sac after an uneventful laparoscopic cholecystectomy.
April 2015: Journal of Minimal Access Surgery
Erkan Parlak, Selçuk Dişibeyaz, Bülent Ödemiş, Aydın Şeref Köksal, Fahrettin Küçükay, Nurgül Şaşmaz, Burhan Şahin
BACKGROUND AND AIMS: Endoscopic treatment is effective in the treatment of patients with bile duct injury after cholecystectomy. We aimed to investigate the long-term results of endoscopic treatment, factors predicting the recurrence of the stricture, and to determine the optimal endoscopic treatment. METHODS: The study was a retrospective cohort analysis and conducted at a tertiary referral center in patients with major bile duct injury (Strasberg E1-4 and E5 patients with main bile duct injury)...
June 2015: Digestive Diseases and Sciences
Klaske A C Booij, Philip R de Reuver, Kenneth Yap, Susan van Dieren, Otto M van Delden, Erik A Rauws, Dirk J Gouma
BACKGROUND AND STUDY AIMS: Cystic duct and Luschka duct leakage after laparoscopic cholecystectomy are often classified as minor injuries because the outcome of endoscopic stenting and percutaneous drainage is generally reported to be good. However, the potential associated early mortality and risk factors for mortality are scarcely reported. The aim of this study was to describe the outcome, mortality, and risk factors for poor survival of patients with type A bile duct injury (BDI) referred to a tertiary center...
January 2015: Endoscopy
Elizabeth A Boonstra, Karlotta Lorenz, Robert J Porte
BACKGROUND: The German anatomist Hubert von Luschka gave name to several structures in the human body. One of great discussion is the duct of Luschka, part of the biliary system. There are different descriptions of the duct of Luschka. This might lead to confusion in the debate and as to what therapy should best be provided in case of an injured duct of Luschka. METHODS: We reviewed the literature on descriptions of Luschka's duct and studied the original German descriptions by Hubert von Luschka...
2014: Digestive Surgery
Kostas Fasoulas, Christos Zavos, Grigoris Chatzimavroudis, Christina Trakateli, Themistoklis Vasiliadis, Aristidis Ioannidis, Jannis Kountouras, Panagiotis Katsinelos
BACKGROUND: Bile leak is a common and serious complication of cholecystectomy with endotherapy being an established method of treatment. This retrospective study presents the 11-year experience of a referral center in endoscopic management of post-cholecystectomy bile leaks. METHODS: During the period between January 2000 and December 2010, records of patients who had undergone endoscopic retrograde cholangiopancreatography (ERCP) for suspected post-cholecystectomy bile leaks were reviewed for evidence of clinical presentation of bile leaks, cholangiographic findings, type of endoscopic intervention, procedural complications and post-procedure follow-up...
2011: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
Kara M Keplinger, Mark Bloomston
Working knowledge of extrahepatic biliary anatomy is of paramount importance to the general surgeon. The embryologic development of the extrahepatic biliary tract is discussed in this article as is the highly variable anatomy of the biliary tract and its associated vasculature. The salient conditions related to the embryology and anatomy of the extrahepatic biliary tract, including biliary atresia, choledochal cysts, gallbladder agenesis, sphincter of Oddi dysfunction, and ducts of Luschka, are addressed.
April 2014: Surgical Clinics of North America
Juan Pablo Gutierrez, Ioana B Smith, C Mel Wilcox, Klaus Mönkemüller
No abstract text is available yet for this article.
2013: Endoscopy
Lawrence Copelovitch, Maureen M O'Brien, Marta Guttenberg, Edgar A Otto, Bernard S Kaplan
We report on five consecutive sibs three with fatal renal-hepatic-pancreatic dysplastic (RHPD) syndrome and two pregnancies ending in early abortion. Three of the fetuses reached term and two survived for 15 and 58 days. They had diffusely cystic kidneys with absence of the distal collecting tubules, hepatic fibrosis, bile duct paucity, and pancreatic fibrosis with irregularly dilated ducts. These findings correspond to many of those reported by Ivemark et al. [Ivemark et al. (1959); Acta Paediat Scand 48: 1-11] as part of the RHPD syndrome...
July 2013: American Journal of Medical Genetics. Part A
Sumeet K Tewani, Brian G Turner, Ram Chuttani, Douglas K Pleskow, Mandeep S Sawhney
BACKGROUND: ERCP is effective for treating a bile leak (BL) after cholecystectomy (CCY), but few data exist on its effectiveness after hepatobiliary surgery (HBS). OBJECTIVE: To determine the effectiveness of ERCP for treating BLs after HBS compared with BLs after cholecystectomy and to identify factors associated with treatment success. DESIGN: Retrospective cohort. SETTING: Academic tertiary-care referral center. PATIENTS: Patients referred from 2001 to 2009 for ERCP treatment of BL after cholecystectomy or HBS...
April 2013: Gastrointestinal Endoscopy
Manabu Watanabe, Kazue Shiozawa, Yui Kishimoto, Takahiko Mimura, Ken Ito, Itaru Kamata, Masahiro Kanayama, Yoshinori Kikuchi, Yoshinori Igarashi, Yasukiyo Sumino
The bile duct of Luschka (BDL) is an anatomic anomaly that is an important cause of bile leakage after bile duct surgery. We report a case of bile duct carcinoma with dilated BDL that was diagnosed by ultrasonography (US). An 83-year-old man presented with an obstructive jaundice. US on admission revealed the presence of a solid hypoechoic mass in the bile duct at the hepatic duct confluence and a branch of the bile duct, about 2-4 mm in diameter, distinct from the dilated right anterior hepatic duct slightly upstream of the tumor...
November 2013: Journal of Clinical Ultrasound: JCU
Chiara Lo Nigro, Girolamo Geraci, Antonio Sciuto, Francesco Li Volsi, Carmelo Sciume, Giuseppe Modica
BACKGROUND: Laparoscopic cholecystectomy (LC) for gallstone disease is the most common surgical procedures performed in Western countries and bile leaks remain a significant cause of morbidity (0.2-2%). The bile ducts of Luschka (DL)are small ducts which originate from the right hepatic lobe, course along the gallbladder bed, and usually drain in the extrahepatic bile ducts. Injuries to these ducts are the second most frequent cause of bile leaks after cholecystectomy. Aim of our study is build a literature review starting from our experience...
July 2012: Annali Italiani di Chirurgia
Ahmad Mohmmad Zubaidi
Objective. Single-incision laparoscopic surgery is a new advanced technology to further minimize the invasiveness of laparoscopy through a single small incision hidden in the umbilicus. The objective is to describe short and long-term outcomes of SILS cholecystectomy. Methodology. Patients with gallbladder pathologies were unselectively enrolled and were prospectively studied between April 2009 and April 2010 and completed a post-operative follow-up for 12 months. Results. There were 22 women and 8 men. Mean age was 46 years...
2012: Minimally Invasive Surgery
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