A62-years old female patient presented to another hospital with complaints of nausea, vomiting and upper right quadrant pain since one week, and abdominal ultrasonography revealed that intrahepatic bile ducts and the common bile duct were dilated. Magnetic resonance cholangiopancreatography was performed at the same hospital and a filling defect of 8.5 mm was noted at the mid level of common bi...

We report two cases of Caroli’s disease in a pair of siblings. The first patient, a seven year-old female child, presented with right upper quadrant abdominal pain for one year. Physical examination showed abdominal bulging and hepatosplenomegaly. Laboratory investigations revealed liver function damage. Abdominal ultrasonography and computer tomography showed intrahepatic bile duct dilatation ...

Surgery is standard management for patients with Mirizzi syndrome. In cases of Mirizzi syndrome type II, laparoscopic surgery is evenmore complicated because of the cholecystocholedochal fistula. Endoscopic treatment for Mirizzi syndrome is still controversial except to relieve a bile duct obstruction [1,2]. This report describes a successful endoscopic treatment for Mirizzi syndrome type II wi...

We report a case of distal common bile duct adenoma presenting with acute cholangitis. A 47-year-old woman suffered from right upper abdominal pain with persistent fever for 4 days. Abdominal ultrasonography showed mild dilatation of common bile duct and bilateral intrahepatic ducts. Endoscopic retrograde cholangiopancreatography disclosed a fixed filling defect in the distal common bile duct. ...

Introduction: Ascariasis by Ascaris lumbricoides is a cosmopolitan disease. Biliary ascariasis is unusual in our country. We report a case of biliary ascariasis revealed by biliary colic. Observation: A 22-year-old woman with no particular history was received for biliary colic associated to vomiting without fever or bowel disorders. On examination, there were pain and defense at the right uppe...

Intraductal papillary neoplasm of the bile duct (IPNB) is a variant type of the bile duct carcinoma characterized by intraductal growth. IPNB is also recognized as a precursor of invasive carcinoma. We describe herein an extremely rare case of IPNB arising from the cystic duct. A 68-year-old man was admitted to our hospital for investigation of epigastralgia and abnormal levels of biliary tract...

INTRODUCTION We report the first case of mass-forming intrahepatic cholangiocarcinoma (ICC) with portal vein tumor thrombus (PVTT) and bile duct tumor thrombus (BDTT), where the extrahepatic bile duct was preserved with thrombectomy. PRESENTATION OF CASE A 70-year-old male. Magnetic resonance imaging (MRI) showed the tumor extending from the hepatic hilum to the left hepatic duct with complet...

Caroli’s disease is a rare congenital disease of the liver characterized by cystic dilation of the intrahepatic bile duct. Classic Caroli’s disease involves malformations of the biliary tract alone, whereas Caroli’s syndrome refers to the presence of associated congenital hepatic fibrosis. Caroli’s disease usually presents during childhood and early adulthood. The clinical features of Caroli’s ...

Endoscopic ultrasonography (EUS)-guided antegrade bile duct stone treatment has been developed for patients with altered anatomy [1–5]. Here, we present a case of successful bile duct stone treatment via an EUS-guided hepaticogastrostomy (EUS-HGS) route in the setting of prior Roux-en-Y reconstruction. Direct peroral transhepatic cholangioscopyguided electronic hydraulic lithotripsy (EHL) and e...

Introduction Adenosquamous carcinoma (ASC) of the bile duct is a rare diagnosis with poorly understood clinicopathological characteristics and disease progression, so identification of the features associated with ASC patient survival is warranted. Materials and methods A population cohort study was performed using prospectively extracted data from the Surveillance, Epidemiology and End Resul...