Objective. To describe the intrahepatic bile duct transposition (anatomical variation occurring in intrahepatic ducts) and to determine the frequency of this variation. Material and Methods. The researches were performed randomly on 100 livers of adults, both sexes. Main research methods were anatomical macrodissection. As a criterion for determination of variations in some parts of bile tree, ...

A 65-year-old female presenting with hepatobiliary cystadenoma (HC) comprised of multiple cysts in the liver and a non-specific epigastric pain is reported herein.  Ultrasound study demonstrated dilated common bile duct (CBD) and intrahepatic bile ducts, plus two spherical stone-like bodies filling defects in the proximal CBD. Sphincterotomy and basket performed for the patient were not success...

Endoscopic dilation of a strictured hepaticojejunostomy can be performed through an access or afferent loop using a balloon enteroscope or a pediatric colonoscope; however, these canbe cumbersomeprocedures. Alternatively, a percutaneous approach may be utilized, but is associated with significant morbidity because of the requirement for external drainage catheters. Recently, endoscopic ultrasou...

Intraductal papillary neoplasm of the bile duct (IPNB) is a specific type of bile duct tumor. It has been proposed that it could be the biliary counterpart of the intraductal papillary neoplasm of the pancreas (IPMN-P). This hypothesis is supported by the presence of simultaneous intraductal tumors of both the bile duct and pancreas. There have been five reports of patients with simultaneous IP...

Nehme F, Nassif I. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220997 Description A 72-year-old woman presented with a 1-week history of fatigue, weight loss and painless jaundice. Liver chemistries confirmed cholestasis with hyperbilirubinaemia of 25.6 mg/dL. An abdominal CT scan revealed multifocal liver lesions and dilation of intrahepatic and extrahepatic bile ducts. On endoscopic retrograde ch...

This study aims to review the causes of intrahepatic and extrahepatic bile duct dilatation. Based on review of medical literature, a scientific classification of the causes is proposed. Intrahepatic and extrahepatic bile duct dilatation can be divided into two categories: congenital and acquired. The former includes the five classical Todani’s congenital types. The latter can be sub-classified ...

a 65-year-old female presenting with hepatobiliary cystadenoma (hc) comprised of multiple cysts in the liver and a non-specific epigastric pain is reported herein.  ultrasound study demonstrated dilated common bile duct (cbd) and intrahepatic bile ducts, plus two spherical stone-like bodies filling defects in the proximal cbd. sphincterotomy and basket performed for the patient were not success...

HYPOTHESIS Excision of the extrahepatic portion of congenital choledochal cysts (CCs) avoids the risk of cancer. The standard classification scheme is out of date. DESIGN Retrospective case series and literature review. SETTING Tertiary care university hospital. PATIENTS Thirty-eight adult patients diagnosed as having CC from 1990 to 2004. MAIN OUTCOME MEASURES Clinical and radiographic...

We report a case of primary squamous cell cholangiocarcinoma. A 62-year-old woman was admitted to our hospital with right upper quadrant abdominal pain and jaundice for 2 weeks. Abdominal computed tomography (CT) confirmed a soft tissue mass at the common hepatic bile duct (CHD). Magnetic resonance cholangio pancreatography (MRCP) revealed luminal stenosis of the CHD with dilation of both intra...

HYPOTHESIS Pancreaticobiliary maljunction (PBM) is a high-risk factor for biliary tract carcinogenesis because of a continuous reflux of pancreatic juice into the biliary tract. It remains to be disclosed whether we should perform prophylactic excision of gallbladders and bile ducts. DESIGN A person-year method. SETTING A university hospital. PATIENTS We studied 68 patients with PBM treat...