Combined Treatment of a Patient with High Bile Duct Stricture

Porous diaphragm syndrome after ERCP in a patient with bile duct stricture.

A 24-year-old man was admitted for evaluation of progressive jaundice. ERCP revealed a stricture in the distal common bile duct. Brushing cytology from the strictured area was employed and subsequently 10 French plastic stent was inserted for palliation of jaundice. After withdrawal of duodenoscope, the patient developed tachypnea and dyspnea. In the following minutes, subcutaneous emphysema ex...

Combined Surgical Management of Ruptured Splenic Artery Pseudoaneurysm with Pancraetic-Duct Stricture in Complex Polytrauma Patient

Objective Pancreatic stricture in trauma or chronic pancreatitis leads to increased intraductal pressure and localised leak of pancreatic juices which causes pseudoaneurysm of splenic artery or other adjacent arteries. Simultaneous surgery for ruptured splenic artery pseudoaneurysm and drainage procedure for pancreatic duct stricture is not reported in literature. Attempts to classify peripancr...

Mechanisms of lower bile duct stricture in autoimmune pancreatitis.

OBJECTIVES We attempted to clarify the mechanism underlying lower bile duct stricture in autoimmune pancreatitis. METHODS Imaging and histologic finding of the bile duct were assessed for 73 patients with autoimmune pancreatitis to clarify whether IgG4-related biliary inflammation or pancreatic head swelling is associated with lower bile duct stricture. RESULTS Lower bile duct stricture was...

Radiation-induced stricture of the common bile duct

This 62-year-old female patient presented to surgical outpatients with features of obstructive jaundice ten years following radiotherapy for renal cell carcinoma. Investigations demonstrated an apparently benign mid common bile duct (CBD) stenosis. The lesion was stented giving temporary relief but subsequent blockage necessitated a hepaticojejunostomy with Roux-en-Y. Pathological examination o...

Management of Bile Duct Problems Treatment Overview Bile Duct Obstruction