While acid-base disturbances are known to occur with chronic pancreatitis, few cases have been reported in which non-anion gap metabolic acidosis is caused by pancreaticopleural fistula, a known complication of chronic pancreatitis. The current report describes the case of a 49-year-old African American woman who presented with severe pleuritic chest pain and dyspnea at rest. The patient had a ...

Duplicated gallbladder is a rare congenital anomaly, usually asymptomatic and occurring as incidental radiographic or surgical finding during upper abdomen, liver and extrahepatic biliary tract surgery. We report on a case of two separate gallbladders, one main and one accessory, each one with its own cystic duct. The main cystic duct drained into the common bile duct while the accessory bile d...

A 65-year-old man was admitted to hospital due to severe acute biliary pancreatitis with colangitis. An endoscopic retrograde cholangiopancreatography was performed with sphincterotomy and extraction of multiple choledocholithiasis. A CT scan performed a week later due to persistent sepsis revealed a round lesion occupying hepatic segments V–VIII, with intense contrast uptake in the arterial ph...

Hydatid disease is a parasitic zoonotic disease that still remains an important healthcare issue in many countries worldwide. Liver is the most common host of the hydatid cysts. The cyst may rupture into the bile duct, as occurs in 5-25% of cases [1]. This complication may be associated with acute cholangitis and life-threatening sepsis. Endoscopic retrograde cholangiopancreatography (ERCP) is ...

We report a case of a 48-year-old female patient, who presented with abdominal pain, jaundice, and lack of appetite. Ultrasound showed intrahepatic biliary dilatation with retroperitoneal lymphadenopathy. Further magnetic resonance cholangiopancreatography detected Klatskin tumor. Computed tomography (CT) confirmed the Klatskin tumor with liver metastases and retroperitoneal lymphadenopathy. Bi...

It is important to recognize that "congenital" double pylorus is a benign condition, so that extensive work-up can be avoided. Also, endoscopists should be aware of the double pylorus and demonstrate extra caution during endoscopic retrograde cholangiopancreatography (ERCP).