BACKGROUND Biliary tract reconstruction continues to be a challenging surgical problem. Multiple experimental attempts have been reported to reconstruct biliary defects with different materials and variable outcome. Our aim was to evaluate a new method for biliary reconstruction using an isolated pedicled gastric tube in a live animal trial and also to present the first clinical case. METHODS...

Haemobilia or bleeding into the biliary tract is a very rare occurrence in children. We report an infant who bled profusely into the biliary tract from dilated pericholecystic veins that were part of a sponge like mass of tortuous, collateral veins replacing the portal vein. This venous anomaly is referred to as cavernous transformation of the portal vein or portal cavernoma and is a sequel of ...

Pleural effusions in patients with chronic liver disease are common and usually are of little consequence. Bilious pleural effusion can occur following percutaneous biopsy or cholangiography procedures if the pleura is traversed. This report emphasizes the role of biliary tract obstruction in the development of a bilious effusion and the importance of biliary tract decompression in treatment. W...

Nonvisualization of the gallbladder during the second trimester of pregnancy should prompt concern for biliary atresia. A normal-sized gallbladder with irregular and crenelated wall associated with a cyst of the extrahepatic tract should raise concern for cystic biliary atresia.

Several species of Helicobacter colonize the hepatobiliary tract of animals and cause hepatobiliary diseases. The aim of this study is to investigate Helicobacter found in the biliary tract diseases of humans. Thirty-two bile samples (15 from bile duct cancer, 6 from pancreatic head cancer, and 11 from intrahepatic duct stone) were obtained by percutaneous transhepatic biliary drainage. Polymer...

AIM The aim of the present study was to evaluate a single-center experience in hepatic arterial infusion (HAI) of patients with biliary tract carcinomas. PATIENTS AND METHODS A retrospective analysis of 60 patients treated between 1997 and 2011 was performed. RESULTS Most patients were treated with HAI of a combination of 5-fluorouracil, folinic acid and cisplatin. The response was not eval...

We present the case of a 38-year-old woman diagnosed with metastatic adenocarcinoma of the biliary tract in the 18th week of pregnancy. Chemotherapy based on cisplatin and gemcitabine was administered, reaching disease stabilization until late-preterm delivery at 35 + 0 weeks of gestation. The infant was healthy and showed no malformations. Her head circumference was small, yet no neurological ...