ABSTRACT
Tuberculosis of the cystic duct lymph node without involvement of gall bladder is exceedingly rare. Cholelithiasis is a usual accompaniment. A case of 65-year-old woman was diagnosed to have cholelithiasis. Laparoscopic cholecystectomy was performed and a prominent cystic lymph node was excised for biopsy. Histopathology surprisingly reported tuberculosis of cystic duct lymph node without affecting the gall bladder. Thereupon, she was treated with antituberculous chemotherapy.
Subject(s)
Aged , Antitubercular Agents/therapeutic use , Cholelithiasis/diagnosis , Cystic Duct/pathology , Female , Humans , Lymph Nodes/pathology , Tuberculosis, Lymph Node/diagnosisABSTRACT
One case of cystic bile duct leakage was encountered in 1400 cases of laparoscopic cholecystectomy. Endoscopic re t rograde cholangio-pancreatography [ERCP] showed an impacted stone in the lower end of the common bile duct. This small stone has passed through a wide cystic duct during manipulation at surgery. Selective operative cholangiography was recommended by the author in cases of small gall bladder stones in the presence of a wide, patent cystic duct. ERCP was recommended as the principle diagnostic as well as therapeutic tool in such cases
Subject(s)
Humans , Female , Cystic Duct/pathology , Bile Duct Diseases/etiology , Cholecystectomy, Laparoscopic , Cholangiopancreatography, Endoscopic Retrograde , Treatment OutcomeSubject(s)
Cystic Duct/pathology , Cysts/congenital , Female , Humans , Liver Diseases/congenital , Middle AgedABSTRACT
Four patients who had obstructing carcinoma of the cystic duct and who presented themselves with enlarged and palpable gall bladders but without jaundice are reported. All patients came from endemic areas of opisthorchiasis and had evidence of Opisthorchis infection by peritoneoscopic and surgical findings. All but one had Opisthorchis eggs in the stool. The pathogenesis and management was discussed.