1/15. A case of Caroli's disease with hepatolithiasis, choledocholithiasis, and cholangiocarcinoma.A 48-year-old woman with Caroli's disease accompanied by hepatolithiasis, choledocholithiasis, and cholangiocarcinoma is reported. magnetic resonance imaging was useful for the diagnosis of the cholangiocarcinoma. The relationship between cholangiocarcinoma and hepatolithiasis, choledocholithiasis, and chronic cholangitis in Caroli's disease is discussed.- - - - - - - - - - ranking = 1keywords = cholangitis (Clic here for more details about this article) |
2/15. cholangiocarcinoma as related to chronic intrahepatic cholangitis and hepatolithiasis. Case report and review of the literature.A case of cholangiocarcinoma is described in a patient with underlying hepatic lithiasis and cholangitis. The possible pathogenesis of cholangiocarcinomas is discussed and the importance of endoscopic retrograde cholangiography in the diagnosis of this malignancy is emphasized.- - - - - - - - - - ranking = 5keywords = cholangitis (Clic here for more details about this article) |
3/15. lymphoma in the wall of the bile ducts: radiologic imaging.Extranodal lymphoma is not uncommon; however, lymphomatous involvement of the wall of the bile duct is rare, with only a few case reports available. Three cases were imaged with computed tomography (CT) and direct cholangiography at our institution. In one, hodgkin disease recurred in the duct wall, producing a radiographic pattern indistinguishable from sclerosing cholangitis. In another, central sclerosis on cholangiography was associated with a separate liver mass identified by CT. This presentation of non-Hodgkin lymphoma mimicked cholangiocarcinoma. The third patient had multifocal, diffuse histiocytic lymphoma arising in the gallbladder and cystic duct, as well as in the kidneys and pancreas. Although the condition is unusual, the diagnosis of lymphoma in the bile duct wall should be considered, particularly when the cholangiographic picture of diffuse central sclerosis is associated with little or no observable mass on CT.- - - - - - - - - - ranking = 1keywords = cholangitis (Clic here for more details about this article) |
4/15. Complications of choledochal cysts in adulthood.choledochal cyst is a well-recognised entity, presenting primarily in infants and young children. Where symptoms are delayed until adulthood, associated hepatobiliary pathology may complicate the presentation. These problems may be aggravated by previous treatment with bypass surgery rather than resection. We report seven cases from our recent experience presenting with complications in adulthood. These included cholangitis, hepatic abscess, pancreatitis and malignancy within the cyst. Two patients presented during pregnancy. These complications and their implications for management are discussed.- - - - - - - - - - ranking = 1keywords = cholangitis (Clic here for more details about this article) |
5/15. Preoperative staging of a distal common bile duct tumor by endoscopic ultrasound.A 27-yr-old man with a long-standing history of primary sclerosing cholangitis presented with recurrent episodes of fever and progressive weight loss over 6 mo. The diagnosis of a distal cholangiocarcinoma was made by endoscopic retrograde cholangiography and transpapillary biopsy. The extent of the tumor could be reliably assessed by endoscopic ultrasound, whereas computed tomography scan, angiography, and transabdominal ultrasound failed to visualize the tumor. The intraoperative findings and histologic work-up of the resected specimen confirmed a T3N0M0 adenocarcinoma of the distal common bile duct.- - - - - - - - - - ranking = 1keywords = cholangitis (Clic here for more details about this article) |
6/15. The development of hepatobiliary cancer in a carrier of salmonella typhus.A case of salmonella enteritis which resulted in a chronic typhoid carrier state is reported. The recurrent cholangitis progressed to sclerosing cholangitis, with subsequent development of cholangiocarcinoma. Although epidemiological studies demonstrate an increased risk of developing hepatobiliary cancer in chronic typhoid carriers, a documented case has never been reported.- - - - - - - - - - ranking = 2keywords = cholangitis (Clic here for more details about this article) |
7/15. association of ulcerative colitis, sclerosing cholangitis and cholangiocarcinoma in a patient with iga deficiency.A case of an unusual association of ulcerative colitis, sclerosing cholangitis, cholangiocarcinoma and iga deficiency in a 22-year-old man is reported. The patient was admitted to the hospital with jaundice. Ulcerative colitis had been diagnosed 4 years before. The association of sclerosing cholangitis and cholangiocarcinoma was demonstrated. In addition iga deficiency was discovered. Possible pathogenetic implications are discussed.- - - - - - - - - - ranking = 6keywords = cholangitis (Clic here for more details about this article) |
8/15. Chronic postcolectomy pericholangitis and cholangiocarcinoma.Two patients with long-standing pericholangitis developed unresectable cholangiocarcinoma after colectomy for chronic ulcerative colitis. The natural history of their illnesses suggest that chronic inflammation of small bile ducts in ulcerative colitis may be a precursor of biliary cancer and may also account for the increased incidence of this tumor in the colitis population.- - - - - - - - - - ranking = 5keywords = cholangitis (Clic here for more details about this article) |
9/15. Difficulty in diagnosing complications of Caroli's disease.Congenital cystic dilatation of the biliary tree (Caroli's disease) is a rare condition that usually presents with ascending cholangitis. This report demonstrates the difficulty of recognizing other complications of Caroli's disease antemortem. A 35-year-old man developed a subphrenic abscess and malignant transformation of the biliary tree; both were clinically undetected. Episodes of pain, pyrexia, or weight loss should be assessed carefully and the complications of Caroli's disease considered before attributing such symptoms to recurrent cholangitis.- - - - - - - - - - ranking = 2keywords = cholangitis (Clic here for more details about this article) |
10/15. cholangiocarcinoma in hepatolithiasis.During the period of 1979-1982, 10 cases of cholangiocarcinoma associated with hepatolithiasis were seen. We report the clinical features of 10 cases of cholangiocarcinoma in association with hepatolithiasis, along with detailed histopathology from the four resected specimens. Our observations suggest that whenever intrahepatic stones are encountered in patients over 50 years of age with a long history of recurrent cholangitis and intractable pain, further examination including echo-guided aspiration cytology, liver scanning, and peritoneoscopy should be performed to rule out a coexisting cholangiocarcinoma.- - - - - - - - - - ranking = 1keywords = cholangitis (Clic here for more details about this article) |
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