A 43 year-old woman presented with fever, abdominal pain, epato-splenomegaly, ascites, cholestasis, anemia, thrombocytopenia and previous diagnosis of sclerosing cholangitis based on liver biopsy and endoscopic retrograde cholangiopancreatography(ERCP). The bone marrow biopsy and the revision of liver biopsy using antitryptase stain diagnosed systemic mastocytosis. Because of the aggressive cou...

A 70-year-old man was referred to our hospital because of elevated hepatobiliary enzymes. He admitted for endoscopic retrograde cholangiopancreatography (ERCP) abdominal echography showed dilatation the intrahepatic bile duct and common duct, contrast-enhanced CT thickening wall lower duct. The large papilla located near inferior border diverticulum could be imaged from front. However, supporti...

Although jaundice rarely complicates polycystic liver disease (PLD), secondary benign or malignant causes cannot be excluded. In a 72-year-old female who presented with increased abdominal girth, dyspnea, weight loss and jaundice, ultrasound and computed tomography confirmed the diagnosis of PLD by demonstrating large liver cysts causing extrahepatic bile duct compression. Percutaneous cyst asp...

This article expresses the current view of the European Society of Gastrointestinal Endoscopy (ESGE) about radiation protection for endoscopic procedures, in particular endoscopic retrograde cholangiopancreatography (ERCP). Particular cases, including pregnant women and pediatric patients, are also discussed. This Guideline was developed by a group of endoscopists and medical physicists to ensu...

Endoscopic retrograde cholangiopancreatography (ERCP) procedures are more difficult in patients who have undergone partial gastrectomy with Billroth II anastomosis. Results improve with experience; we have achieved full diagnostic information in only 52% of 63 attempts, but ultimately in 60% of the 53 patients concerned. Therapeutic endeavours were more successful with useful results in eight o...

Biliary cystadenomas with ovarian like mesenchymal stroma are rare benign cystic neoplasms of liver which have premalignant potential. A 58-year-old woman presented for the evaluation of a 3.6 cm cyst compressing the hepatic duct, jaundice and abnormal liver enzymes. Endoscopic retrograde cholangiopancreatography (ERCP) and stent placement provided symptomatic improvement. The patient was succe...

â  the ampulla of vater is commonly located in the posteromeâ­dial wall of the second portion of the duodenum. at times, the ampulla of vater may be found at uncommon sites such as the third and fourth portions of the duodenum, the duodenal bulb and the stomach. we found the ampulla of vater in the pyloric channel in a 44 year old patient who had undergone surgery for acute cholecystitis. an in...

Malignancies leading to obstructive jaundice present too late to perform surgery with a curative intent. Due to inexorably progressing hyperbilirubinemia with its consequent deleterious effects, drainage needs to established even in advanced cases. Percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) are widely used palliative procedures ea...

A 20-year-old male presented with 2 months of progressive abdominal distension due to ascites and Budd-Chiari syndrome. He underwent transjugular intrahepatic portosystemic shunt (TIPS) placement, but soon after had elevated liver enzymes. MRCP revealed mild left intrahepatic biliary dilatation without stones or obvious stricture. Endoscopic retrograde cholangiopancreatography (ERCP) demonstrat...

Endoscopic Retrograde Cholangiopancreatography (ERCP) is commonly performed in patients after liver transplantation. The most common indications for ERCP include treatment of bile leaks and anastomotic and nonanastomotic biliary strictures. In this report we describe an unusual complication of ERCP in a liver transplant recipient with a bile leak two months after orthotopic liver transplantatio...