Bile duct injuries after blunt abdominal trauma are rare in children. This report describes 2 cases of blunt bile duct injuries in children, which were managed non-operatively. One patient sustained partial tear in the right hepatic duct, which was managed successfully by passing a stent into the injured duct during endoscopic retrograde cholangio pancreatography. The 2nd patient had intrahepat...

Duplicated common bile duct, often associated with conditions like lithiasis, biliary cysts and pancreatobiliary maljunction, could result in highly morbid and potentially fatal biliary injuries. Precise preoperative diagnosis and classification still remain a challenge. A female patient undergoing emergency laparoscopic cholecystectomy for acute calculous cholecystitis sustained iatrogenic bil...

Three months after esophagectomy for esophageal cancer, a 58-year-old man presented with fluid trapped in his upper mediastinum due to chylous leakage from a duplicated left-sided thoracic duct that remained after excision of the main thoracic duct. Classical lymphangiography using lipiodol confirmed the presence of duplicated thoracic ducts. Conservative treatments were not effective, and then...

herlyn-werner-wunderlich (hww) syndrome is an uncommon combined müllerian duct anomalies (mdas) and mesonephric duct malformation of female urogenital tract characterized by uterus didelphys and obstructed hemi-vagina and ipsilateral renal agenesis (ohvira) syndrome. we present a rare and unusual case of this syndrome in a 19 year-old female who suffered from hypomenorrhoea and abdominal pain. ...

can be presenting symptoms of main duct intraductal papillary mucinous neoplasm (main duct IPMN). Given the risk of malignancy with main duct IPMN, surgery is generally recommended [1]. In patients who are not candidates for surgery, pancreatic sphincterotomy can be considered as a possible way to alleviate pancreatitis due to main duct IPMN by facilitating drainage of mucus. A 72-year-old woma...

HYPOTHESIS Resection of the gallbladder together with the dilated bile duct is the preferred treatment for pancreaticobiliary maljunction (PBM) with bile duct dilatation, whereas this treatment for PBM without bile duct dilatation is still controversial. DESIGN Retrospective study of 196 patients from January 1979 to November 2004. SETTING Two university hospitals. PATIENTS One hundred ni...

Mucinous cystic neoplasm (MCN) of the liver is a biliary counterpart of pancreatic MCN, usually occurring in the liver, but occasionally extending to the extrahepatic bile duct [1,2]. We present a case of MCN with extrahepatic bile duct extension diagnosed by peroral video cholangioscopy (POVCS). A 49-year-old woman was admitted with a week of vomiting without abdominal pain, and jaundice. Abdo...

BACKGROUND AND OBJECTIVES One-stage laparoscopic management for common bile duct stones in patients with gallbladder stones has gained wide acceptance. We developed a novel technique using a transcystic approach for common bile duct exploration as an alternative to the existing procedures. METHODS From April 2010 to June 2012, 9 consecutive patients diagnosed with cholelithiasis and common bi...

purpose: to compare success rates of external dacryocystorhinostomy (dcr) with and without bicanalicular silicone intubation for management of primary acquired nasolacrimal duct obstruction. methods: in a randomized clinical trial study, 52 patients with primary acquired nasolacrimal duct obstruction underwent external dcr. patients were randomly enrolled into two groups. in the 1st group, exte...

introduction: in the present research, the effect of morphine consumption during pregnancy on the development of the embryo’s spinal cord was studied in wistar rat. methods: female wistar rats (wt: 250-300 g) were mated with males. the test group received morphine (0.01 mg/ml) in their drinking water. pregnant rats were later killed with chloroform on the 12th, 13th and 14th days of pregnancy, ...