Biliary hamartoma presented as a single mass / 대한간학회지

No abstract available.

Choledochal cyst.

Choledochal cyst, a congenital anomaly, is a premalignant condition. Progressive damage to the bile ducts and to the liver parenchyma may also have association with the condition. Subsequent risk of developing cholangiocarcinoma may be lessen by early diagnosis and prompt definitive surgical treatment, that may even permanently correct the condition. A young lady was admitted into Mymensingh Medical College Hospital and was presented with pain in the upper abdomen associated with intermittent vomiting for several months. Her per abdominal examination revealed an ill defined mass in the epigastrium and right hypogastrium with diffuse tenderness. Patients may also present with attacks of jaundice of obstructive type, but this was absent in this particular case. Diagnosis of choledochal cyst was confirmed by the ultrasound. On exploration, the cyst was excised and Hepatico-jejunostomy and jejuno-jejunostomy was done by Roux-en-Y method. Her post operative period was uneventful and followed up till to date. Purpose of this presentation is to emphasize early diagnosis and definitive treatment of this developmental anomaly that may predispose to malignancy.

Colangite aguda / Cholangitis acute

A colangite é uma afecção do trato biliar com significativa morbi-mortalidade associada. Muitos pacientes com colangite aguda respondem à antibioticoterapia. Entretanto, aqueles com a forma severa ou tóxica da doença usualmente não respondem, necessitando de drenagem biliar de emergência

Spontaneous perforation of the left hepatic duct with acalculous cholecystitis.

Spontaneous rupture of the biliary tree leading to bile peritonitis is rare. We report a boy who developed spontaneous perforation of the left hepatic duct and had acalculous cholecystitis.

Enfermedad de Caroli: dilatación quistica congenita y segmentaria de las vias biliares intrahepaticas / Caroli's disease: congenital cystic segmentary dilatation of the intrahepatic biliary ducts

La dilatación congénita y segmentaria de las vías biliares intrahepáticas es una enfermedad rara. No obstante haberse descrito varios casos en la literatura, su presentación tal como fuera referida originalmente es excepcional. Algunos casos coexisten con fibrosis hepática congénita e hipertensison portal. Un fenómeno característico consiste en la formación de cálculos y la infección canalicular. En este artículo se presentan tres casos de enfermedad de Caroli, en pacientes de sexo femenino, de 57,53 y 58 años, respectivamente. El caso n§ 1 presentaba las características de una malformación compleja, con: a) dilataciones quísticas y segmentarias de las vías biliares intrahepáticas; b) litiasis intra y extrahepática e infecciones recurrentes; c) fusión del colédoco y vesícula biliar en una bolsa común; d) hemangioma cavernoso hepático y lóbulo supernumerário. El caso n§ 2 presentaba: a) dilataciones quísticas y segmentarias de las vías biliares intrahepáticas; b) fibrosis portal; c) riñones poliquísticos; d) hipertensión portal. El caso n§ 3 presentaba: a) dilataciones quísticas y segmentarias de las vías biliares intrahepáticas; b) fibrosis portal; c) riñones y bazo poliquísticos ; d) hipertensión portal. El pronóstico de estos pacientes es variable y se torna más desfavorable por las infecciones recurrentes y la concomitancia de otras malformaciones que suelen ser severas. El tratamiento es quirúrgico, aunque no existen conclusiones definidas sobre sus resultados alejados