Background: One of the most serious late complications, after evacuation of liver hydatid cyst and instillation of scolicidal agents is sclerosing cholangitis, most probably caused by the type of scolicidal agents instilled. Objective:  To determine the incidence of sclerosing cholangitis after intra-biliary tract infusion of 5% saline and 0.5% silver nitrate. Methods: 5% hypertonic saline and ...

A 56 year old woman was admitted to the clinic with severe colicky right upper abdominal pain. There was a three-week history of jaundice. Pathological biochemical laboratory results of her serum were as follows: direct bilirubin 4.53 mg/dl, total bilirubin 3.08 mg/dl, AST 45 U/L, ALT 72 U/L. Surgical treatment, cholecystectomy + choledochtomy + T-tube drainage, was performed. Exploration of th...

Spontaneous biloma is a rare non-traumatic lesion in whi­ch the extrahepatic or intrahepatic bile duct perforates spontaneously with no discernable cause. We present case of spontaneous 68 years old male patient cholelithiasis and concurrent choledocholithiasis, who presented acute severe cholangitis. There was history abdominal surgery, instrumentation, trauma past. Initial ultrasonography (US...

Watanabe K, Yokoyama Y, Kokuryo T, Kawai K, Kitagawa T, Seki T, Nakagawa A, Nagino M. 15-Deoxy-prostaglandin J2 prevents inflammatory response and endothelial cell damage in rats with acute obstructive cholangitis. Am J Physiol Gastrointest Liver Physiol 298: G410–G418, 2010. First published January 7, 2010; doi:10.1152/ajpgi.00233.2009.—Acute obstructive cholangitis is a common disease with a ...

Acute cholangitis has been reported as an uncommon adverse event after self-expandable metallic stent (SEMS) implantation. Herein, we report a case of acute caused by duodenal refluxate without obstruction. A 62-year-old woman received SEMS for obstructive jaundice pancreatic head adenocarcinoma. She had in stable condition until her percutaneous transhepatic cholangial drainage (PTCD) was clam...