mirizzi’s syndrome is a rare complication of gallstone disease , that gallbladder lumen can lie alongside the common hepatic duct, resulting in inflamation and resultan bile duct stricture . most cases are not indentified preoperatively. variations of the cystic duct and its point of :union: with the common hepatic duct are surgically important . here, we present an unusual case of type i miriz...

Variations in the bile duct and pancreatic duct opening are related to the process of rotation and recanalization during embryologic development. Complete non-union of distal common bile duct and duct of Wirsung gives rise to a double papilla of Vater [1]. A 48-year-old woman presented to the emergency room complaining of severe upper abdominal pain which later shifted to the right upper quadra...

Echinococcosis is endemic in Mediterranean regions and is found primarily in the liver. Biliary fistula is a common complication, but major biliary duct involvement is very rare, and occurs in 0.47% of patients with hepatic hydatid disease. Cyst rupture causing secondary peritoneal hydatidosis is a rare but serious complication. We report the case of a 27-year-old man with multiple peritoneal a...

The thoracic duct is generally accepted as the major pathway of lymphocytes enroute to the circulating blood (1, 2, 3), accounting for approximately 70 per cent of all the lymphocytes in the peripheral blood. The remainder of the lymphocytes are said to enter the blood directly via the lymph from other sites (2). Reliable information concerning the hematologic content of lymph in the thoracic d...