4,908 results match your criteria Biliary Trauma


Novel technique in treating portal cavernous transformation with portal Biliopathy.

J Natl Med Assoc 2022 Jun 25. Epub 2022 Jun 25.

Carilion Clinic: 1906 Belleview Ave SE, Roanoke, VA 24014.

We present a case report of a patient who is a non-cirrhotic with portal cavernous transformation secondary to previous trauma. The patient presents with portal biliopathy requiring ERCP/EUS with biliary stenting. The patient was referred to Interventional Radiology (IR) for portal vein recanalization. Read More

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A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review.

Am J Case Rep 2022 Jun 27;23:e936255. Epub 2022 Jun 27.

Department of General Surgery, Venizeleio General Hospital of Heraklion, Heraklion, Crete, Greece.

BACKGROUND Biloma is the collection of bile outside the biliary tree as a result of visceral perforation. The most common site of disruption is the gallbladder, whereas common bile duct lesions usually occur following medical procedures or trauma. Spontaneous perforation of the common bile duct has been previously reported in the literature. Read More

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Intracholecystic versus Intravenous Indocyanine Green (ICG) Injection for Biliary Anatomy Evaluation by Fluorescent Cholangiography during Laparoscopic Cholecystectomy: A Case-Control Study.

J Clin Med 2022 Jun 17;11(12). Epub 2022 Jun 17.

Department of Surgical Sciences, Sapienza University of Rome, 00161 Rome, Italy.

(1) Background: Fluorescence cholangiography has been proposed as a method for improving the visualization and identification of extrahepatic biliary anatomy in order to possibly reduce injuries and related complications. The most common method of indocyanine green (ICG) administration is the intravenous route, whereas evidence on direct ICG injection into the gallbladder is still quite limited. We aimed to compare the two different methods of ICG administration in terms of the visualization of extrahepatic biliary anatomy during laparoscopic cholecystectomy (LC), analyzing differences in the time of visualization, as well as the efficacy, advantages, and disadvantages of both modalities. Read More

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Normothermic regional perfusion in liver transplantation from donation after cardiocirculatory death: Technical, biochemical, and regulatory aspects and review of literature.

Artif Organs 2022 Jun 22. Epub 2022 Jun 22.

Hepatobiliary Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.

Background: Organs from donation after circulatory death (DCD) are increasingly used for liver transplantation, due to the persisting organ shortage and waiting list mortality. However, the use of DCD grafts is still limited by the inferior graft survival rate and the increased risk of primary non-function and biliary complications when compared to brain death donors' grafts.

Methods: Abdominal normothermic regional perfusion with extracorporeal membrane oxygenation (ECMO) is an in situ preservation strategy. Read More

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Bouveret syndrome: approaching the obstructive duodenal gallstone.

Trauma Surg Acute Care Open 2022 26;7(1):e000945. Epub 2022 May 26.

Department of Surgery, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA.

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New insights into sex differences in primary biliary cholangitis. Gender difference in primary biliary cholangitis.

J Pak Med Assoc 2022 May;72(5):896-900

Department of Internal Medicine, Tri-Service General Hospital, National Defence Medical Center, Taipei, Taiwan.

Objective: To highlight the clinical characteristics of primary biliary cholangitis on the basis of gender in terms of the extent of liver injury and extra-liver autoimmune expressions.

Methods: The retrospective study was conducted at the Tri-Service General Hospital, Taiwan, and comprised data of patients aged >20 years diagnosed with primary biliary cholangitis between January 2000 and December 2018. Patients in the control group were randomly selected from the health examination centre. Read More

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Situations That Preclude Routine Intraoperative Cholangiography.

Am Surg 2022 Jun 12:31348221091950. Epub 2022 Jun 12.

Department of Surgery, 24520Novant Health New Hanover Regional Medical Center, Wilmington, NC, USA.

Intraoperative cholangiogram (IOC) is a useful tool for surgeons to assess anatomy of the biliary tree and diagnose biliary pathology. Many surgeons utilize cholangiography in most cases in hopes of preventing ductal injuries and are deemed routine cholangiographers. There is little data on the success rate and reasons why IOC is not performed. Read More

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Impact of resident involvement on patient outcomes in laparoscopic cholecystectomy of different degrees of complexity: analysis of 2331 cases.

Surg Endosc 2022 Jun 10. Epub 2022 Jun 10.

Division of HPB Surgery and Liver Transplant Unit, Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1181ACH, Buenos Aires, Argentina.

Background: Resident involvement in the operating room is a vital component of their medical education. Laparoscopic cholecystectomy (LC) represents the paradigmatic minimally invasive training procedure, both due to its prevalence and its different forms of complexity. We aim to evaluate whether the supervised participation of residents as operative surgeons in LC of different degrees of complexity affects postoperative outcomes in a university hospital. Read More

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Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report.

Cureus 2022 Jun 4;14(6):e25662. Epub 2022 Jun 4.

General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.

Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. Read More

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A Pragmatic Approach to Pancreatic Trauma: A Single-Center Experience From a Tertiary Care Center.

Cureus 2022 May 6;14(5):e24793. Epub 2022 May 6.

Surgical Gastroenterology, Government Mohan Kumaramangalam Medical College Hospital, Salem, IND.

Introduction Pancreatic trauma is rare and is usually associated with adjacent organ and vascular injuries, which adds to the high morbidity and mortality. In the American Association for the Surgery of Trauma (AAST) pancreatic trauma (PT) grading system, the higher grades are a composite of less and more severe extents of injuries. We hereby present an observational study of PT with management based on an indigenous algorithmic approach. Read More

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Acute abdomen with jaundice: A clue to extrahepatic biliary tract perforation.

Int J Surg Case Rep 2022 May 1;94:107127. Epub 2022 May 1.

Department of Surgery, RIMS, Ranchi.

Introduction: Among a plethora of causes of acute abdomen, spontaneous common bile duct perforation (SCBDP) resulting in biliary peritonitis is almost never envisaged. Since the term SCBDP is often misconstrued as absence of an identifiable cause of perforation, 'nontraumatic perforation of CBD' is also in parlance to exclude relatively common causes such as trauma and iatrogenic injuries. In adults, choledochal cyst, cholangitis, infection, pancreatitis, pancreatobiliary maljunction have been identified as causes of perforation, however, choledocholithiasis remains the most common cause associated with spontaneous perforation of extra hepatic bile duct. Read More

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Biliopleural fistula after penetrating thoracoabdominal injury: A case report.

Int J Surg Case Rep 2022 May 27;94:107126. Epub 2022 Apr 27.

Department of cardiothoracic surgery, Addis Ababa University, Ethiopia.

Introduction: Biliopleural fistula is a rare complication of thoraco-abdominal injury. Due to its rarity, the experience of any one surgeon is minimal, there is a paucity of literature regarding optimal treatment. This case report can be an addition to the existing reports to guide surgeons in better understanding and management of such cases. Read More

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Simultaneous early surgical repair of post-cholecystectomy major bile duct injury and complex abdominal evisceration: A case report.

Int J Surg Case Rep 2022 May 21;94:107110. Epub 2022 Apr 21.

HPB Surgery Service, Barts and the London Centre, Barts Health NHS Trust, London, UK; Department of Surgery and Interventional Science, University College London, UK; Department of Surgery, Ospedale Policlinico San Martino Genova, Italy. Electronic address:

Background: Major bile duct injuries (BDIs) are hazardous complications during 0.4%-0.6% of laparoscopic cholecystectomies. Read More

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Organ Donation after Circulatory Determination of Death in India: A Joint Position Paper.

Indian J Crit Care Med 2022 ;26(4):421-438

Madras Medical Mission, Chennai, Tamil Nadu, India.

Organ donation following circulatory determination of death (DCDD) has contributed significantly to the donor pool in several countries. In India, majority of deceased donations happen following brain death (BD). While existing legislation allows for DCDD, there have been only few reports of kidney transplantation following DCDD from India. Read More

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January 2022

IgG4-related disease presenting with multiorgan involvement.

BMJ Case Rep 2022 Jun 1;15(6). Epub 2022 Jun 1.

Gastroenterology and Hepatology, UPMC, Pittsburgh, Pennsylvania, USA.

Immunoglobulin G4-related disease (IgG4-RD) is a rare fibroinflammatory immune-mediated condition which can affect multiple organ systems and form mass-like lesions. Initial presentation can mimic other diseases such as pancreatic malignancy when there is pancreatic involvement or tuberculosis (TB) when there are pulmonary lesions or hypertrophic pachymeningitis (HP). Here, we report a novel case of IgG4-RD presenting as bilateral subdural haematomas with additional findings. Read More

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Liver Trauma: Until When We Have to Delay Surgery? A Review.

Life (Basel) 2022 May 6;12(5). Epub 2022 May 6.

General, Emergency and Transplant Surgery Department, ASST-Settelaghi and University of Insubria, 21100 Varese, Italy.

Liver involvement after abdominal blunt trauma must be expected, and in up to 30% of cases, spleen, kidney, and pancreas injuries may coexist. Whenever hemodynamics conditions do not contraindicate the overcoming of the ancient dogma according to which exploratory laparotomy should be performed after every major abdominal trauma, a CT scan has to clarify the liver lesions so as to determine the optimal management strategy. Except for complete vascular avulsion, no liver trauma grade precludes nonoperative management. Read More

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Which Suture to Choose in Hepato-Pancreatic-Biliary Surgery? Assessment of the Influence of Pancreatic Juice and Bile on the Resistance of Suturing Materials-In Vitro Research.

Biomedicines 2022 May 2;10(5). Epub 2022 May 2.

Department of Gastrointestinal Surgery, Medical University of Silesia in Katowice, ul. Medyków 14, 40-752 Katowice, Poland.

(1) Background: The choice of appropriate surgical suture during operation is of great significance. Currently, there are no objective studies regarding the resistance of commonly used sutures in biliary tract surgery. (2) Methods: This fact leads one to conduct research concerning the resistance of the sutures (Polydioxanone, Poliglecaprone, Poliglactin 910, and their analogues coated with antibacterial triclosan) in the environment of sterile and contaminated bile and pancreatic juice. Read More

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Anidulafungin biliary passage in liver transplant patients.

Transpl Infect Dis 2022 May 17:e13848. Epub 2022 May 17.

Emergency Surgery and Trauma, Fondazione Policlinico Universitario A, Gemelli IRCCS, Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.

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Robotic Diagnosis and Management of Acute Cholecystocolonic Fistula.

Cureus 2022 Apr 13;14(4):e24101. Epub 2022 Apr 13.

Trauma and Acute Care Surgery, Methodist Health System, Dallas, USA.

Cholecystocolonic fistula (CCF) is a rare complication of biliary tract disease. Increased use of imaging has aided in diagnosing these fistulae preoperatively and has established laparoscopy as a safe alternative to laparotomy. Here, we present a 79-year-old male who presented to the emergency room with abdominal pain and was diagnosed with choledocholithiasis. Read More

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Blockade of mIL-6R alleviated lipopolysaccharide-induced systemic inflammatory response syndrome by suppressing NF-κB-mediated Ccl2 expression and inflammasome activation.

MedComm (2020) 2022 Jun 6;3(2):e132. Epub 2022 May 6.

National Translational Science Center for Molecular Medicine&Department of Cell Biology State Key Laboratory of Cancer Biology the Fourth Military Medical University Xi'an P.R. China.

Systemic inflammatory response syndrome (SIRS) is characterized by dysregulated cytokine release, immune responses and is associated with organ dysfunction. IL-6R blockade indicates promising therapeutic effects in cytokine release storm but still remains unknown in SIRS. To address the issue, we generated the human knock-in mice and a defined epitope murine anti-human membrane-bound IL-6R (mIL-6R) mAb named h-mIL-6R mAb. Read More

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Palliative laparoscopic Roux-en-Y choledochojejunostomy as a feasible treatment option for malignant distal biliary obstruction.

Surg Today 2022 May 10. Epub 2022 May 10.

Division of Hepato-Biliary and Pancreas Surgery, Department of Surgery, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, Republic of Korea.

Purposes: The advantages of surgical bypass for patients with distal biliary obstruction caused by advanced periampullary cancer include a low risk of recurrent biliary obstruction; however, the highly invasive nature of the operation limits its use. Herein, we present the clinical findings of patients who underwent laparoscopic Roux-en-Y choledochojejunostomy (LRYCJ) compared with those who underwent endoscopic stent insertion.

Methods: We reviewed, retrospectively, the palliative care outcomes for malignant bile duct obstruction according to the type of intervention: LRYCJ vs. Read More

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Infected Biloma after Endoscopic Ultrasound-Guided Fine-Needle Aspiration.

Case Rep Gastroenterol 2022 Jan-Apr;16(1):154-158. Epub 2022 Mar 28.

Department of Radiology, Mohammed V Military Hospital, Faculty of medicine and pharmacy, Mohammed V University, Rabat, Morocco.

Biloma is a severe complication that can result from bile duct disruption or hepatic trauma. It can occur after biliary surgery such as cholecystectomy or an endoscopic retrograde cholangiopancreatography manipulation and endoscopic biliary sphincterotomy. We present the case of a 59-year-old man admitted for jaundice, with pain in his right flank and fever, 10 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for an ill-defined pancreatic lesion, associated with an infected biloma. Read More

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Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse.

BMC Surg 2022 May 4;22(1):157. Epub 2022 May 4.

Department of General Surgery, Unit of Gastrointestinal, Hepato-Biliary and Pancreatic Surgery, University Hospital "Alexandrovska", Sofia, Medical University of Sofia, 1 G.Sofiiski Str., 1431, Sofia, Bulgaria.

Background: Transvaginal intestinal evisceration is an extremely rare surgical emergency with potentially fatal consequences. Only a few more than 100 cases with this pathology have been described in the literature. Aetiology is also unclear and multifactoral. Read More

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An Unusual Case of Isolated Pancreatitis Secondary to Blunt Abdominal Trauma.

Cureus 2022 Mar 31;14(3):e23717. Epub 2022 Mar 31.

Gastroenterology, University of Houston / HCA Healthcare Kingwood, Houston, USA.

Acute pancreatitis is an inflammatory condition affecting a large population and resulting in one of the most common causes of gastrointestinal hospitalizations in the United States. The pathogenesis resulting in pancreatic injury has multiple etiologies with gallstones and alcohol consumption contributing to a large majority of cases. Consequently, one uncommon cause of acute pancreatitis, direct abdominal trauma, often gets overlooked. Read More

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Post-traumatic biloma intrahepatic a rare complication of closed abdominal trauma: A case report.

Radiol Case Rep 2022 Jun 19;17(6):2203-2206. Epub 2022 Apr 19.

Department of Pediatric Radiology, CHU Ibn Rochd, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University,1, Rue des Hôpitaux, Casablanca, Mo…, Casablanca, 20250, Morocco.

Post-traumatic hepatic biloma is a rare complication of closed trauma of the abdomen. Generally, biloma occurs spontaneously or secondary to traumatic or iatrogenic injury to the biliary system. It can lead to significant morbidity and mortality if not diagnosed promptly and properly managed. Read More

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Machine perfusion in liver transplantation.

Hepatology 2022 Apr 30. Epub 2022 Apr 30.

Department of Surgery and Transplantation, Swiss Hepato-Pancreato-Biliary and Transplant Center, University Hospital Zurich, Zurich, Switzerland.

Although liver transplantation is a true success story, many patients still die awaiting an organ. The increasing need for liver grafts therefore remains an unsolved challenge to the transplant community. To address this, transplant donor criteria have been expanded and, for example, more liver grafts with significant steatosis or from donors with circulatory death are being used. Read More

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Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature.

Chin J Traumatol 2022 Apr 13. Epub 2022 Apr 13.

Haepato-Biliary-Pancreatic Unit, Hammersmith Hospital. Imperial College, London, W120TS, UK.

Purpose: Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Read More

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On-call abdominal ultrasonography: the rate of negative examinations and incidentalomas in a European tertiary care center.

Abdom Radiol (NY) 2022 Jul 29;47(7):2520-2526. Epub 2022 Apr 29.

Medical Imaging Center, Department of Radiology, Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Hanzeplein 1, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.

Objectives: To determine the proportions of abdominal US examinations during on-call hours that are negative and that contain an incidentaloma, and to explore temporal changes and determinants.

Methods: This study included 1615 US examinations that were done during on-call hours at a tertiary care center between 2005 and 2017.

Results: The total proportion of negative US examinations was 49. Read More

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Perihepatic Biloma in a Non-cirrhotic Patient After Transjugular Intrahepatic Portosystemic Shunt (TIPS).

Cureus 2022 Mar 22;14(3):e23399. Epub 2022 Mar 22.

Transplant Hepatology, Albert Einstein College of Medicine, Bronx, USA.

Biloma is an intrahepatic or extrahepatic collection of bile within the abdominal cavity. It can occur spontaneously, or as a result of trauma to the biliary tree. The clinical presentation can be variable and non-specific. Read More

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