Cases reported "Liver Diseases"

Filter by keywords:



Filtering documents. Please wait...

1/21. Segment IV liver cyst with biliary communication following laparoscopic deroofing.

    Simple cysts of the liver rarely have a biliary communication. We record the development of a biliary communication following laparoscopic deroofing of a segment IV simple cyst of liver and document its successful sclerosis with tetracycline.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

2/21. Metallic cough and pyogenic liver abscess.

    The curious symptom of a metallic cough in association with a pyogenic hepatic abscess should heighten awareness of a fistula. We describe a 78-year-old female with severe diverticular disease, on long-term steroid treatment for polymyalgia rheumatica. She developed a pyogenic liver abscess, treated initially by antimicrobial therapy, and subsequently drained by ultrasound and computed tomography-guided percutaneous transhepatic pigtail catheterization. This was complicated by a fistulous communication between the abscess cavity and the bronchus, confirmed by radiology. After repeated attempts at drainage and antimicrobial therapy the abscess cavity, including the hepatobronchial fistula, resolved.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)

3/21. Nonparasitic solitary huge liver cysts causing intracystic hemorrhage or obstructive jaundice.

    We report two cases of a nonparasitic solitary huge liver cyst. The first case, that of a 42-year-old woman, was admitted with a chief complaint of upper abdominal pain. Computed tomography (CT) scans revealed a huge cyst, 10 cm in diameter, in segments 4 and 5 of the liver, and spontaneous rupture of the cyst with intracystic hemorrhage. Her general condition was improved by transcatheter arterial embolization (TAE). Percutaneous cystic needle aspiration cytological examination revealed no malignant cells, so she was discharged. After 3 weeks, however, the cyst had increased in size, and simple cystectomy was performed. Histological examination proved the cyst to be benign. The patient in the second case, a 70-year-old man, was admitted with epigastric discomfort and obstructive jaundice. CT scans revealed a huge liver cyst, 18 x 15 cm, in the right lobe of the liver, with dilation of the bile duct in the lateral segment. Magnetic resonance cholangiopancreatography showed compression of the left hepatic duct by the cyst and dilation of the bile duct in the lateral segment. Endoscopic retrograde cholangiopancreatography disclosed no communication between the bile duct and the cyst. Percutaneous transhepatic cyst drainage was performed, and minocycline hydrochloride was infused. The cyst was reduced in size, and the reduction has been maintained for 20 months since treatment.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)

4/21. alstrom syndrome with acute pancreatitis: a case report.

    We report the case of a 21-year-old female with alstrom syndrome who also suffered from acute pancreatitis of obscure manifestation. The patient had underlying cone-rod dystrophy of the retinas, nystagmus, obesity, progressive sensorineural hearing impairment, diabetes mellitus, and hypertriglyceridemia, compatible with the clinical diagnosis of alstrom syndrome. Serial examinations showed liver dysfunction and pancreatitis. In treating a patient with poor communication (i.e. cone-rod dystrophy and hearing impairment) suffering from acute illness, understanding the underlying disease and the potential for pancreatitis with hypertriglyceridemia is necessary. It is also a challenge to treat a patient with multiple system involvement. In conclusion, alstrom syndrome is a disease of systemic multi-organ involvement, and hepatic disease and pancreatitis, possibly due to dyslipidemia, appear to be manifestations of alstrom syndrome.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)

5/21. Liver cyst with biliary communication successfully treated with laparoscopic deroofing: a case report.

    A 71-year-old Japanese woman complained of right upper abdominal fullness and pain. Computed tomography revealed a huge cyst in the right lobe of the liver, measuring 16 cm in diameter. She underwent laparoscopic deroofing of the liver cyst. On operation, needle aspiration of the cyst yielded clear serous fluid without any bile contamination. However, after the cyst was deroofed with laparoscopic coagulating shears, bile leakage was recognized from a tiny orifice in the cyst cavity. A catheter was inserted via the orifice for cholangiography, which demonstrated a communication with the biliary tract. The orifice was easily closed with a laparoscopic suturing device. Operation time was 5 hours and 30 minutes, and blood loss was 300 grams. Pathological examination of the liver cyst was consistent with a simple cyst. The postoperative course was uneventful, and the patient has had no recurrence to date at 13 months. Laparoscopic deroofing is a recommended treatment for a liver cyst even in the presence of cystobiliary communication.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

6/21. Hepatopulmonary fistula: treatment with biliary metallic endoprosthesis.

    Hepatopulmonary communication, most commonly in the form of bronchobiliary fistula, is an unusual lesion that can occasionally close spontaneously, but usually requires surgical therapy. The usual treatment has been a combined thoracoabdominal approach with correction of the fistulous tract or an abdominal approach to correct the causative bile duct obstruction. Both endoscopic and percutaneous therapy of the biliary ductal system have been described as forms of treatment. We present a case of hepatopulmonary fistula in a patient with bilioptysis, treated with percutaneous biliary metallic endoprosthesis. To our knowledge, this is the first reported case in which metallic stents were used to treat a hepatopulmonary fistula.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)

7/21. Treatment of a case with right-sided diaphragmatic hernia associated with an abnormal vessel communication between a herniated liver and the right lung.

    We herein report a rare case of a newborn girl with a right-sided congenital diaphragmatic hernia where a herniated liver had an abnormal vessel communication with the right lung. A surgical repair was initially attempted through a thoracic approach at 4 days of age where only a plication of the hernia capsule was performed without a prominent improvement in the respiratory condition. At 1 year of age, an angiographic examination was performed, which revealed pulmonary hypertension and abnormal vessel communications where the right pulmonary flow returned to the herniated liver and the right lung also received an arterial supply from the liver. During the second surgical repair performed at 1 year and 1 month of age, an abdominal approach through a right subcostal incision was selected. The aberrant vessels between the lung and the liver were carefully identified and ligated. Because the right lobe of the liver was completely herniated, a hepatic segmentectomy of S6 and S7 was performed. The patient has been doing well for 21 months without any mechanical ventilation since 2 months after undergoing the radical second operation. When performing surgery on a right-sided diaphragmatic hernia, the potential presence of such a vessel anomaly should be carefully taken into consideration.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

8/21. Ciliated hepatic foregut cyst.

    A male infant was found to have a large congenital hepatic cyst, first noted in late gestation by prenatal ultrasound scan. The cyst communicated with the biliary tree and was eventually removed completely by an extended right hepatectomy. Histopathologic examination showed a thick-walled, unilocular cyst lined predominantly by ciliated, stratified squamous epithelium with an outer wall composed of smooth muscle cells and fibrous tissue. These features are diagnostic of a ciliated hepatic foregut cyst, a rare congenital malformation with histologic similarities to bronchogenic cysts. The young age of our patient, prenatal detection, large size of the cyst, and a clear communication with the biliary tree have not been previously described with ciliated hepatic foregut cysts.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)

9/21. Demonstration of abnormal peritoneal communication in patients with ascites.

    patients with ascites are known to have complications such as pleural effusions and hernias. Special diagnostic procedures are occasionally necessary to determine the nature of the abnormality and to determine the corrective medico-surgical approach. The two cases described illustrate the usefulness of intraperitoneal as well as intrapleural injection of a radionuclide in diagnosing the leakage of ascitic fluid.
- - - - - - - - - -
ranking = 0.66666666666667
keywords = communication
(Clic here for more details about this article)

10/21. Symptomatic nonparasitic cysts of the liver.

    A retrospective study of 14 patients who had symptomatic congenital liver cysts managed at the Department of Surgery, University of hong kong at Queen Mary Hospital together with a literature review was conducted to evaluate the current surgical practice for the condition. Seven patients were managed either expectantly (N = 5) or by percutaneous aspiration (N = 2). Surgery which included total cystectomy (N = 3), external drainage (N = 1), and marsupialization with (N = 2) or without (N = 1) fenestration was done for the remaining 7 patients, among whom 1 developed bleeding after total cystectomy. While percutaneous aspiration provides adequate symptomatic palliation in selected patients, eventual recurrent cyst formation is frequent, especially when the cyst exceeds 10 cm in diameter. Despite technological advances, the presence of biliary communication and malignancy could not be accurately determined preoperatively. Careful examination of the cyst cavity at surgery remains the most reliable guide. drainage into the peritoneal cavity in the presence of infection or bile content provides satisfactory drainage with minimal morbidity and mortality. Since total cystectomy could be done safely without partial hepatectomy, it can even be considered in patients with deeply-seated lesions. The role of aggressive hepatic resection or liver transplantation for the management of liver cysts remains to be validated by further clinical evaluation.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = communication
(Clic here for more details about this article)
| Next ->


Leave a message about 'Liver Diseases'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.