Lemmel syndrome is a rare entity that causes biliary obstruction due to compression of the common bile duct by periampullary diverticulum. It can manifest as acute cholangitis and often underdiagnosed. However, once identified, it be successfully treated with endoscopic retrograde cholangiopancreatography, being one most used methods. should considered in elderly patients diagnosis duodenal div...

Caroli's disease, which is a rare condition with congenital dilatation of the intrahepatic bile ducts, is usually diagnosed postoperatively. The clinical suspicion in a patient with gallstones and choledocholithiasis presenting with dilated intrahepatic biliary radicles and jaundice is usually an obstructive etiology. However, scintigraphic evaluation of this entity, as in this case, gives addi...

We report a 38-year-old lady with carcinoid tumor of the extrahepatic biliary tract who presented with recurrent obstructive jaundice and previous surgery for suspected choledocholithiasis. MRCP revealed a large bile duct tumor extending from the confluence up to the superior aspect of the pancreas; this was completely excised, with bilio-enteric anastomosis. These tumors are characteristically...

Introduction Microincision of the cystic duct and its confluence part, which facilitated application transcystic-laparoscopic common bile (CBD) exploration (transcystic-LCBDE), had been described in some reports. However, it is unclear whether transcystic-LCBDE with microincision (micro-LCBDE) effective safe as transductal-LCBDE for failed patients choledocholithiasis. Methods In this retrospec...