ABSTRACT
BACKGROUND: Percutaneous transhepatic balloon dilatation is an alternative to surgery when benign bilioenteric strictures (BBES) are inaccessible to endoscopic treatment. Our primary objective was to report long-term patency of balloon-dilated BBES. METHODS: A total of 110 consecutive patients with 155 BBES had percutaneous transhepatic complete drainage of all biliary territories, balloon dilatation, and catheter stenting. Intracorporeal electrohydraulic lithotripsy treated associated biliary stones. Biliary drains were removed when no residual balloon waists were observed on at least 2 consecutive sessions, 6 weeks apart. RESULTS: A total of 109 of 110 patients had complete drainage. Forty-five patients had successfully treated associated stones. Eleven patients had short-term complications. No patients died. The median follow-up period was 59 months (range, .5-278 mo). Twenty-three patients were lost to follow-up evaluation. Thirteen patients had recurrent biliary obstruction (15%). Life-table analysis showed 90.9% bilioenteric patency after 2,697 days. CONCLUSIONS: Percutaneous balloon dilatation and calibration of BBES provides acceptable morbidity and low long-term stricture recurrence.
Subject(s)
Biliary Tract Diseases/therapy , Catheterization/methods , Intestinal Diseases/therapy , Postoperative Complications/therapy , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical , Bile Ducts/surgery , Biliary Tract Diseases/etiology , Biliary Tract Diseases/surgery , Catheterization/instrumentation , Cholestasis/etiology , Cholestasis/therapy , Constriction, Pathologic/etiology , Constriction, Pathologic/therapy , Disease-Free Survival , Drainage/methods , Female , Follow-Up Studies , Humans , Intestinal Diseases/etiology , Intestine, Small/surgery , Kaplan-Meier Estimate , Male , Middle Aged , Recurrence , Stents , Treatment OutcomeABSTRACT
Acute appendicitis presenting with ureteral stenosis and hydronephrosis is very rare. Here, we report the case of a patient who had complicated acute appendicitis with perforation and abscess resulting in right pyeloureteral dilation.
Subject(s)
Abscess/complications , Appendicitis/complications , Hydronephrosis/etiology , Ureteral Obstruction/etiology , Aged , Female , HumansABSTRACT
BACKGROUND: Strangulation is the most serious complication of inguinal hernia. Diverticulitis, a common condition, is usually localized in the left colon. The association of complicated inguinal hernia and diverticulitis is rare. METHODS: We report the case of a 73-year-old male patient who presented with a suspicion of strangulated inguinal hernia. RESULTS: CT and operative findings showed transverse colon diverticulitis lodged in an incarcerated inguinal hernia without signs of strangulation. Surgical hernia repair was undertaken while the treatment of diverticulitis was conservative. Follow-up was uneventful. CONCLUSION: This is a first report of documented transverse colon diverticulitis simulating inguinal hernia strangulation.