ABSTRACT
Recurrent episodes of pain following pancreatic drainage is a perplexing problem often faced by the surgeon. The diagnosis and management of this entity is difficult. We report a case of Roux loop obstruction occurring 4 years after a lateral pancreaticojejunostomy (LPJ) for chronic pancreatitis.
Subject(s)
Adult , Anastomosis, Roux-en-Y , Chronic Disease , Diagnosis, Differential , Humans , Male , Pancreaticojejunostomy , Pancreatitis/diagnosis , Postoperative Complications/diagnosis , RecurrenceABSTRACT
A 46-year-old lady presented with itching, five years after a primary common bile duct repair following cholecystectomy. Prior to this she underwent an interno-external biliary drainage. At laparotomy the horizontal limb of a T-tube was found in the common hepatic duct. Eleven months after a Roux loop hepatico-jejunostomy she is asymptomatic.
Subject(s)
Common Bile Duct , Drainage/instrumentation , Female , Foreign Bodies , Humans , Intubation/instrumentation , Middle AgedABSTRACT
Primary cystic lesions of the liver are very rare. Most of the solid tumours are hepatocellular carcinomas (HCC) with a smaller number being cholangiocarcinomas. The association of HCC with other primary liver malignancies is also extremely rare. This case report is about a 27 year old male patient who presented with a giant cystic lesion of the left liver. A CT scan showed a cystic lesion with internal septations and a thrombus in the main portal vein. The patient underwent an extended left hepatectomy and a portal venotomy with removal of the thrombus. Coexistent hepatocellular and cystadenocarcinoma were reported on histopathological examination. The patient was put on 5-FU postoperatively. He is doing well 11 months after surgery.
Subject(s)
Adult , Carcinoma, Hepatocellular/diagnosis , Cystadenocarcinoma/diagnosis , Cysts/diagnosis , Diagnosis, Differential , Humans , Liver Diseases/diagnosis , Liver Neoplasms/diagnosis , MaleABSTRACT
A rare complication following ileo-anal pouch procedure is the occurrence of superior mesenteric artery syndrome. We report a patient with ulcerative colitis who developed vascular compression of the duodenum following J-pouch construction.
Subject(s)
Adult , Colitis, Ulcerative/surgery , Humans , Male , Proctocolectomy, Restorative/adverse effects , Superior Mesenteric Artery Syndrome/etiologyABSTRACT
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.
Subject(s)
Adult , Biliary Fistula/etiology , Cholangiopancreatography, Endoscopic Retrograde , Cysts/complications , Female , Hepatic Duct, Common , Humans , Laparoscopy , Liver Diseases/complications , RecurrenceABSTRACT
We report a 55-year-old man with angiosarcoma of the cecum who presented with generalized colicky abdominal pain with a mass in the periumbilical region. The lesion at surgery was a colo-colic intussusception extending to the midtransverse colon. A radical right hemicolectomy was done. Metastases to regional lymph nodes were noted in the specimen.