In January 2012, a 68-year-old woman underwent laparoscopic partial gastrectomy at our institute, with Roux-en-Y reconstruction for an ulcerated gastrointestinal stromal tumor. The postoperative course was complicated by development of a duodenal stump fistula and subhepatic collection (●" Fig.1). Percutaneous drainage of the collection, as well as percutaneous transhepatic biliary drainage (PT...

BACKGROUND Hemobilia in children is a rare phenomenon which has been described mostly in the context of traumas. The descriptions of massive hemobilia in children after liver biopsy are a rarity in the scientific literature because there are only a few examples of it. Hemobilia rarely develops spontaneously. Generally, this is a complication after a blunt abdominal trauma or after medical (espe...

INTRODUCTION Spontaneous biliary tract fistulas are rare entities. Most of them are associated with long-standing gallstones (especially common bile duct stones, or recurrent biliary tract infections), some with more uncommon diseases such as gallbladder cancer. Some authors believe that back flow from fistulas predisposes patients to gallbladder cancer and some believe that cancer causes necro...

Although the cellular mechanisms controlling bile flow and biliary lipid secretion are unclear, morphologic data suggest that intracellular vesicles may be involved. Therefore, to investigate the role of hepatocyte lysosomes in bile flow and biliary lipid secretion, we studied the effect of cholestasis on biliary lipid output and on lysosomal enzyme activities and total protein concentration in...

BACKGROUND Jaundiced patients undergoing surgical procedures have an increased risk of Gram negative sepsis with potential morbidity and mortality. Depressed Kupffer cell clearance capacity (KCCC) predisposes jaundiced patients to endotoxaemia and its sequelae. Biliary decompression remains the main therapeutic strategy in obstructive jaundice. AIMS This study investigates the efficacy of int...

BACKGROUND The obstruction of the main bile duct by a foreign body, followed by lithogenesis at that level, is rarely encountered in the literature especially when the foreign body is a plastic biliary stent. We have not found referrals concerning the stone formation as a complication at the level of a biliary stent. CASE REPORT A 59-year-old female patient was referred with abdominal pain an...

Fistulas are one of the main complications of hydatid cysts. The case of female patient of 37 years old, came from a rural area, operated first for hepatic hydatid cyst two years ago, then she didn't receive any antiparasitic agents later. Addressed to us for the treatment of biliptysis. The clinical and radiological examination revealed a broncho-biliary fistula associated with a bilio-cutaneo...

OBJECTIVE To evaluate a series of cases of cicatricial stenosis of the biliary tract after cholecystectomy undergoing surgical reconstruction. METHODS We conducted a retrospective study with 27 patients who underwent surgical reconstruction of the biliary tree for cicatricial stenosis. We analyzed the type of cholecystectomy that resulted in injury, age, gender, signs and symptoms, time of di...

Embryological development of the biliary tract is a complex process and may result in various anatomic variations. The classification commonly used in the literature for the assessment of biliary tract variations, was developed by Huang et al. [1]. This classification has five types (●" Table1) based on the point of opening of the right posterior branch [2]. In this case study of a patient who ...

Gallstone ileus is an uncommon cause of small bowel obstruction, mainly affecting elderly patients. The most common cause is impaction of a stone in the ileum after passing through a biliary-enteric fistula (1). Jejunal perforation is a rare complication of gallstone ileus. We present a case of jejunal diverticular perforation secondary to gallstone ileus, produced by diverticulum wall necrosis...