We report a case of obstructive jaundice caused by a large hepatic cyst which was successfully treated by percutaneous drainage and instillation of minocycline hydrochloride. An 88-year-old man presented with obstructive jaundice and upper abdominal fullness. Abdominal CT and ultrasonography revealed a large hepatic cyst and intrahepatic bile duct dilatation. After the percutaneous drainage of ...

The clinical importance of biliary tract calculi is in their association with cholangitis and acute pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is regarded as the safest and most successful therapeutic method for extracting stones from the common bile duct. Nevertheless, large or impacted calculi that take up the entire bile duct are a therapeutic challenge. A bile duct ...

The case of a patient with asymptomatic double common bile duct that was identified by chance is presented. A 41-year-old man underwent esophagogastroduodenoscopy(EGD) as part of a regular health checkup, during which he was found to have an elevated lesion in the lesser curvature of the upper gastric corpus with bile draining from its tip. Further examination led to a diagnosis of double commo...

cholangiopathy and chronic diarrhea are relatively common manifestations of aids. cryptosporidium parvum infection is the most common cause of aids cholangiopathy globally. this is the first report of documented cryptosporidium parvum infection in a patient with aids in iran. the patient was a 39-year-old man from afghanistan with watery diarrhea, crampy periumbilical abdominal pain and 20 kg w...

Endoscopic therapy is the first line treatment for patients with common bile duct (CBD) stones. Removing bile duct stones by ERCP requires enlarging the papillary opening, either by cutting the biliary sphincter with an endoscopic sphincterotomy or by endoscopic papillary balloon dilation. Dilation has the advantage of sphincter preservation and a lower risk of hemorrhage but carries an increas...

Obstructive jaundice as the main clinical feature is uncommon in patients with hepatocellular carcinoma (HCC). Only 1-12 % of HCC patients manifest obstructive jaundice as the initial complaint. Such cases are clinically classified as "icteric type hepatoma", or "cholestatic type of HCC". Identification of this group of patients is important, because surgical treatment may be beneficial. HCC ma...

OBJECTIVES The aim of this study was to assess the risk of developing bile duct cancer among workers in the other printing industry in comparison with workers in all industries in general. METHODS Prevalence of bile duct cancer was compared between workers in the printing industry and age-standardized controls in all other industries using the claims database of the Japan Health Insurance Ass...

Endoscopic-ultrasound (EUS)-guided biliary drainage is a therapeutic option for patientswithbiliarypathologyandaltered gastrointestinal anatomy in whom conventional endoscopic retrograde cholangiopancreatography (ERCP) has failed [1– 3].We present the case of a patient undergoing EUS-guided choledochojejunostomy with a fully covered, lumen-apposingmetal stent (●" Video 1). A 64-year-oldmanwho h...

A 68-year-old man with a history of primary sclerosing cholangitis and hilar cholangiocarcinoma had presented with biliary obstruction and had undergone endoscopic retrograde cholangiopancreatography (ERCP) with stricture dilation and main right/left intrahepatic duct stent placement (7-Fr ×12-cm). Some months after diagnosis, the patient had developed gastric outlet obstruction due to proximal...