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biliary fistula/fièvre
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[Jaundice, fever and biliary fistula in a 78-year-old patient].
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[Analysis of 26 cases of internal biliary fistula].
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One of the more difficult problems in cholelithiasis surgery is posed by the internal biliary fistula. This lesion is defined as an abnormal communication between the accessory biliary tract (gall bladder or cystic duct) and the gastrointestinal tract or main bile duct. Twenty-six patients with
Biliary-venous fistula complicating transjugular intrahepatic portosystemic shunt presenting with recurrent bacteremia, jaundice, anemia and fever.
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A 50-year-old White man with noncirrhotic portal hypertension presented with bleeding from gastric varices. Bleeding was initially managed with band ligation and subsequent transjugular intrahepatic portosystemic shunt (TIPS). Over the next few months, the patient had recurrent episodes of anemia,
[An unusual complication of hepatocellular carcinoma: the pleuro-biliary fistula].
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A patient with hepatocellular carcinoma had fever, cough, dyspnea. The analysis and the transcatheter arterial chemoembolization (TACE) showed leucocytosis, cholestasis and pleural viscous fluid with bilirubin. The patient was stabilized and two chest tube were placed. Abdomen CT demonstrated
Isolated Biliary Fistula After Donor Right Hepatectomy and Its Novel Interventional Treatment: Isolated Liver-Punctured Drainage.
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Isolated biliary leakage is difficult to manage, and afflicted patients often develop refractory fistula. The present case was a 43-year-old male donor whose wife developed acute fulminant liver failure. Computed tomography (CT) volumetry showed that the estimated remnant liver volume was only 394
Brocho-biliary fistula: A rare complication after ruptured liver abscess in a 3½ year old child.
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Bronchobiliary fistula (BBF) is a rare condition, defined by the presence of abnormal communication between biliary tract and bronchial tree. We describe a 3½-year-old child who developed BBF after rupture of liver abscess. She underwent exploratory laparotomy and peritoneal wash for ruptured liver
Transjugular liver biopsy--experience in fifty patients.
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OBJECTIVE
We evaluated the safety, adequacy, clinical impact and cost of transjugular liver biopsies performed at our institution.
METHODS
Eighty-four biopsies performed in 50 consecutive patients with coagulopathy (INR >1.4; n=20), thrombocytopenia (platelet count <75,000/cmm; n=17), ascites
Intrabiliary rupture of hepatic hydatid cyst.
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Frank intrabiliary rupture of hepatic hydatid cysts is not uncommon in Iraq. Thirteen patients have been studied and three types of presentations described: i) typical, a patient with known hydatid cyst of the liver presents with pain, fever and jaundice; ii) asymptomatic, in a patient with hepatic
Consequences of lost gallstone.
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Laparoscopic cholecystectomy has become the treatment of choice in the management of calculus gallbladder disease. Intraperitoneal gallstone loss is not uncommon; it occurs in up to 40% of cases. Often, the stones are left unretrieved and are thought to be inconsequential. We present a series of
[Laparoscopic cholecystectomy. Apropos of 450 cases].
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450 successive celioscopic cholecystectomies (May, 1990-April, 1992) are reported for 312 cases of uncomplicated gallstone (69%) operated electively and 138 cases operated in emergency, including 120 cases of acute cholecystitis, 17 cases of biliary pancreatitis and 1 case of angiocholitis.
[Peritoneal hydatid cysts. Apropos of 12 cases].
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OBJECTIVE
The aim of this retrospective study was to report on 12 cases of peritoneal hydatidosis observed in the same hospital from 1989 to 1998.
METHODS
Four men and 8 women (mean age: 37 years) were included in the study. Four of them had been operated on for liver hydatidosis, 3 to 9 years
Complications in pediatric laparoscopic cholecystectomy: systematic review
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Laparoscopic cholecystectomy (LC) is the gold standard for surgical management in symptomatic children, but it is not without complications, bile duct injury being among the most feared. This study reviewed the complications of LC in children. MEDLINE/PubMed, CENTRAL and Lilacs were reviewed for LC.
A case of melena caused by a hepatic aneurysm ruptured into the intrahepatic bile duct in a patient with allergic granulomatous angiitis.
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A 46 year old woman was admitted to our institute in June, 1987 with an attack of asthma, as well as remittent fever and leukocytosis accompanied by hypereosinophilia. She was found to have melena from an unknown source upon gastrointestinal examination. Four low-density areas were found in the
Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery.
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OBJECTIVE
Percutaneous treatment of hydatid cysts is relatively new, and the data related to it are limited. The purpose of this study was to provide additional data to strengthen the proof of its effectiveness.
METHODS
One hundred sixty-eight hepatic cysts in 111 patients were treated using a
Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy.
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OBJECTIVE
Bile leaks are known complications of cholecystectomy. The combination of sphincterotomy and nasobiliary tube (NBT) drainage is effective for the immediate decompression of bile ducts and provides access for follow-up cholangiography. Our objective was to study, retrospectively, 19
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