Fatal hemothorax after inadvertent transpleural biliary drainage

Fatal outcome after inadvertent injection of topical EPINEPHrine.

receiving an injection of EPINEPHrine 1:1,000 (1 mg/mL) from a syringe that a surgical nurse and surgeon thought contained a local anesthetic. Staff at the hospital where the event happened worked collaboratively with ISMP Canada to issue a country-wide bulletin to draw attention to the tragic event and encourage a call to action for all hospitals to prevent similar errors. ISMP Canada has allo...

Fatal liver gas gangrene after biliary surgery

INTRODUCTION Liver gas gangrene is a rare condition with a highly mortality rate. It is mostly associated with host factors, such as malignancy and immunosuppression. PRESENTATION OF CASE A 57-year-old female was admitted to our hospital with abnormalities of her serum hepato-biliary enzymes. She had a history of hypertension, diabetes mellitus, cerebral infarction, and chronic renal failure....

EUS-Guided Biliary Drainage

The echoendoscopic biliary drainage is an option to treat obstructive jaundices when ERCP drainage fails. These procedures compose alternative methods to the side of surgery and percutaneous transhepatic biliary drainage, and it was only possible by the continuous development and improvement of echoendoscopes and accessories. The development of linear setorial array echoendoscopes in early 1990...

Cholangiocarcinoma arising after biliary-enteric drainage procedures for benign disease.

Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy

Background. The advantages or disadvantages of preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) remain unclear. Methods. A prospectively maintained database was queried for 335 consecutive patients undergoing standard PD surgery between 2009 and 2013. Clinical data and postoperative complications of the 47 patients receiving PBD and 288 patients with early surgery were ...