Résumé
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.
Sujets)
Conduit cholédoque , Drainage/instrumentation , Femelle , Corps étrangers , Humains , Intubation/instrumentation , Adulte d'âge moyenRésumé
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.
Sujets)
Adulte , Carcinome hépatocellulaire/diagnostic , Cystadénocarcinome/diagnostic , Kystes/diagnostic , Diagnostic différentiel , Humains , Maladies du foie/diagnostic , Tumeurs du foie/diagnostic , MâleRésumé
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.
Sujets)
Adulte , Fistule biliaire/étiologie , Cholangiopancréatographie rétrograde endoscopique , Kystes/complications , Femelle , Conduit hépatique commun , Humains , Laparoscopie , Maladies du foie/complications , RécidiveRésumé
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.