We report a case of an indwelling inferior vena cava filter that penetrated the IVC wall after Whipple's pancreatico-duodenectomy procedure performed in a patient with ampullary carcinoma, resulting in right ureteral injury and obstruction with subsequent hydroureter and hydronephrosis. This was incidentally discovered on a computed tomography scan performed as routine follow up to evaluate the...

Anatomical arterial vascular supply to the liver is varied [1]. Establishing the exact variant of this blood supply is important before pancreatic surgery. Identifying the exact vascular anatomy may help in decision-making during surgery. In 1955, Michels [2] published a study on hepatic arterial anatomy which was based on 200 autopsies. The classification was revised in 1966 by Michels and the...

A 45-year-old woman presented with generalised body itch, dark-coloured urine and pale stools for six day. Ultrasonography, endoscopic retrograde cholangiopancreatography and computed tomography revealed dilated intrahepatic ducts with stricture at the proximal common bile duct. The gallbladder was replaced by a large heterogeneous mass invading the liver and common bile duct. She underwent gal...

BACKGROUND Little is known about the pathogenesis of Whipple disease, the reservoirs of Tropheryma whippelii, and the proportion of persons harboring the bacterium without "classic" intestinal abnormalities. OBJECTIVE To assess the presence of T. whippelii in patients undergoing upper endoscopy for a variety of indications. DESIGN Prospective and routine diagnostic examination of patients. ...