SCORE SYSTEM FOR ERCP INDICATING IN EXTRAHEPATIC BILE DUCT OBSTRUCTION

Primary Extrahepatic Bile Duct Carcinoids

Biliary tact carcinoids are extremely rare: only ten cases have been reported up to now. The Authors describe a successfully treated carcinoid tumour of the proximal bile duct and review the literature about these rare malignancies. Despite extensive preoperative work-up, including ultrasound, CT scan and ERCP, a definite diagnosis is hardly possible prior to histologic examination of the opera...

Common Bile Duct Stones ERCP or Surgery?

Stain, S. C., Cohen, H., Tsuishoysha, M., Donovan, A.J. (1991) Choledocholithiasis Endoscopic sphincterotomy or common bile duct exploration. Annals of Surgery; 213:627-634 A prospective randomized trial was conducted of preoperative endoscopic sphincterotomy and surgery (ES&S) or surgery alone (SA) in 52 patients with cholecystolithiasis and choledocholithiasis that were candidates for electiv...

Duplication of the extrahepatic bile duct

RATIONALE Duplication of the extrahepatic bile duct is an extremely rare congenital anomaly of the biliary system. PATIENT CONCERNS A 44-year-old woman presented with a history of continuous upper abdominal pain and vomiting. DIAGNOSES Magnetic resonance cholangiopancreatography (MRCP) disclosed diffuse dilatation of the intrahepatic and extrahepatic bile ducts. Endoscopic retrograde cholan...

Extrahepatic bile duct neurilemmoma mimicking Klatskin tumor.

Neurilemmoma rarely develops in the biliary tree. Here, we report a 39-year-old Iranian woman with neurilemmoma in the extrahepatic bile duct presenting with progressively deepening jaundice. On the basis of clinical and radiological features, this tumor was initially suspected as Klatskin tumor. Histologically, the tumor was a typical neurilemmoma. Immunostaining showed that tumor cells were s...

Multiple myeloma involving the extrahepatic bile duct.