structive jaundice, who had undergone placement of a percutaneous drainage catheter (10−Fr internal/external cathe− ter), was admitted for endoscopic retro− grade cholangiopancreatography (ERCP). The cholangiogram revealed an irregular stricture of the distal common bile duct. A hydrophilic guide wire was inserted across the transhepatic drainage and re− covered endoscopically; we removed the p...

Cholecystoduodenal fistula is a type of biliary enteric fistula that can occur as a result of chronic cholecystitis. The majority of cases are diagnosed and their subsequent management planned intraoperatively. Previous reports have focused on successful laparoscopic management. We report three cases of elective cholecystectomy that were diagnosed intraoperatively with a cholecystoduodenal fist...

The etiology of benign bile duct strictures is heterogeneous. Many of them may be secondary to intraoperative injury such as injuries occurring during laparoscopic cholecystectomy. The spectrum of symptoms at presentation varies from subclinical disease with elevation of liver function tests to complete biliary obstruction with jaundice and hyperbilirubinemia or external biliary fistula in the ...

The term biloma refers to an encapsulated and well-circumscribed collection of bile in the abdomen. It can be inside or outside biliary system, spontaneous, iatrogenic due abdominal trauma. Usually, a combination patients medical history, symptoms imaging modalities help establish diagnosis at ease. We herein present rare case hepatic subcapsular formed by fistula on inflamed gallbladder wall d...

PATIENT Female, 16 FINAL DIAGNOSIS: Malrotation and cholecystoduodenal fistula Symptoms: Abdominal pain • anorexia • fever • nausea • vomiting MEDICATION - Clinical Procedure: - Specialty: Gastroenterology and Hepatology. OBJECTIVE Anatomical anomaly/variation. BACKGROUND Cholecystoduodenal fistula (CDF) is the most common cholecystenteric fistula. It is a late complication of gallbladder...

The pharmacokinetics and biliary excretion of osaterone acetate (17alpha-acetoxy-6-chloro-2-oxa-4,6-pregnadiene-3,20-dione; OA), a new steroidal antiandrogen, were investigated in intact dogs and biliary fistula dogs after bolus intravenous administration of (14)C-labeled drug. In intact dogs, OA exhibited a biexponential disposition with a very long half-life of 197.9 +/- 109.9 h. OA accounted...

BACKGROUND/AIMS Cicatricial biliary strictures are usually associated with high morbidity and mortality rates, frequently related to technical difficulties of their surgical repair, mainly in hilar lesions. Interference with bile duct blood supply during surgical attempts for correction is a major factor for unsuccessful results. The aim of this study is to evaluate, after an extended follow-up...

© SCVIR, 1995 THE incidence of complications following fine-needle (external diameter < 1 mm; 20-23-gauge) aspiration biopsies (FNABs) in the abdomen is low, with a reported rate of 0.55%. Major complications including bile peritonitis, bacterial peritonitis, intrahepatic hematoma, tumor seeding, and death have been reported to occur in 0.003%-0.1% of cases (1,2). Blood may enter the biliary sy...

Biliary-pleural fistula (BPF), an abnormal communication between the biliary tract and pleural space, is a rare but potentially life-threatening complication following percutaneous biliary intervention. We report a case of BPF following portal vein embolization (PVE) in a 79-year-old woman with obstructive jaundice secondary to perihilar cholangiocarcinoma. The patient successfully underwent ri...

Complexation of ursodeoxycholic acid (UDCA) with 2-hydroxypropyl-beta-cyclodextrin (HPbetaCD) improves the water solubility and the dissolution rate of UDCA and may therefore increase its bioavailability. We compared the amount and the rate of biliary excretion of UDCA and biliary lipid secretion after a single oral administration of UDCA in 3 different pharmaceutical formulations [UDCA-HPbetaC...