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Bile Duct Stricture
Stricture Bile Duct

Presentation

We present herein a case where a benign bile duct stricture developed 16 years after an open cholecystectomy and without any prior symptoms. [ncbi.nlm.nih.gov]

Patients with bile duct injury after a laparoscopic cholecystectomy can present with the injury soon after the cholecystectomy or many weeks to months after the injury Patients who present early usually present with leakage of bile into the abdominal [hpbsurgery.com.au]

Case Report A 65-year-old man presented with 1 week of fever, right upper quadrant pain, jaundice, pruritus, and subjective steatorrhea. [acgcasereports.gi.org]

Entire Body System

  • Chills

    Clinical findings Jaundice, fever, chills, abdominal pain. Aetiology Prior local surgery, pancreatitis, trauma, gallstones. [medical-dictionary.thefreedictionary.com]

    Symptoms Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored stools Exams and Tests The following tests can help diagnose this condition: Endoscopic retrograde cholangiopancreatography [drrakeshrai.com]

    When this happens, bile can back up into the liver, causing abdominal pain, nausea, itching, fever, chills, and jaundice. Strictures can be caused during surgery on nearby tissues, such as the gallbladder. [emoryhealthcare.org]

    […] bile duct, liver or pancreas Damage and scarring due to a gallstone in the bile duct Damage or scarring after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills [baptistjax.com]

Gastrointestinal

  • Clay-Colored Stool

    Symptoms Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored stools Exams and Tests The following tests can help diagnose this condition: Endoscopic retrograde cholangiopancreatography [drrakeshrai.com]

    […] gallstone in the bile duct Damage or scarring after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills Fever Itching Jaundice Nausea and vomiting Pale or clay-colored [baptistjax.com]

    […] after gallbladder removal Pancreatitis Primary sclerosing cholangitis Symptoms Symptoms include: Abdominal pain on the upper right side of belly Chills Fever Itching General feeling of discomfort Loss of appetite Jaundice Nausea and vomiting Pale or clay-colored [mountsinai.org]

    Common symptoms of a bile duct stricture include: Pain in the upper-right abdomen Fever Itching Chills Nausea Jaundice (or yellow skin) Pale or clay colored stools Fatigue Weight loss Night sweats If you experience any of these symptoms, it is crucial [liverandpancreassurgeon.com]

Liver, Gall & Pancreas

  • Jaundice

    We present a case of a 64-year-old woman who presented with sudden onset jaundice and abdominal pain, 1 week following right hemicolectomy. Laboratory reports suggested obstructive jaundice. [ncbi.nlm.nih.gov]

  • Biliary Colic

    Sphincter of Oddi dysfunction or papillary stenosis: Patients usually present with biliary colic after cholecystectomy. [emedicine.medscape.com]

    Sphincter of Oddi dysfunction or papillary stenosis Patients usually present with biliary colic after cholecystectomy. [ncbi.nlm.nih.gov]

  • Recurrent Jaundice

    The patient initially enjoyed good symptomatic relief post stenting but presented two months later with recurrent jaundice. Investigation confirmed duct dilatation and stent blockage. [ispub.com]

  • Scleral Icterus

    Mild jaundice and mild scleral icterus were present. Laboratory work-up revealed a total bilirubin to 2.1 mg/dL, with direct bilirubin of 1.2 mg/dL and normal liver transaminases. [acgcasereports.gi.org]

Workup

A biliary drain can also be used to take bile samples for diagnostic workup or disease monitoring, as well as providing a route of administration for medical substances. [en.wikipedia.org]

The cyst was followed up by sonography which was not decreasing in size so planned for further workup and surgery. Her menstrual cycles were regular with the normal flow with no dysmenorrhea. [jmidlifehealth.org]

IgG4 sclerosing disease in a 42-year-old woman who initially underwent workup for an anterior neck mass. An adrenal mass and a pancreatic mass were incidentally detected. [pubs.rsna.org]

Initial laboratory workup showed a normal CBC as well as basic blood chemistry, liver function tests, serum electrolytes, and urinalysis. Thyroid function tests revealed a TSH of <0.01 mIU/mL and a free T4 of 2.6 ng/dL. [hindawi.com]

This differentiation often poses a significant diagnostic and therapeutic challenge and extensive investigative workup may be required. [fg.bmj.com]

Treatment

BACKGROUND/AIMS: Endoscopic treatment for postoperative benign bile duct stricture (BBS) is a therapeutic challenge. No previous studies have compared endoscopic treatments for BBS and malignant bile duct stricture (MBS). [ncbi.nlm.nih.gov]

Prognosis

AIM: To compare the outcome of endoscopic therapy for postoperative benign bile duct stricture and benign bile duct stricture due to chronic pancreatitis, including long-term prognosis. [ncbi.nlm.nih.gov]

Associated findings Associated findings are for example: features of chronic pancreatitis evidence of previous cholecystectomy lymph node enlargement infiltrating mass Treatment and prognosis Treatment and prognosis clearly depend on the underlying etiology [radiopaedia.org]

Outlook (Prognosis) Treatment is successful most of the time. Long-term success depends on the cause of the stricture. Possible Complications Inflammation and narrowing of the biliary duct may return in some people. [baptistjax.com]

Etiology

Etiology There are numerous causes of biliary duct strictures, including 1,2 : malignant cholangiocarcinoma involvement by pancreatic head adenocarcinoma involvement by ampulla of Vater adenocarcinoma involvement by gallbladder carcinoma 4 benign iatrogenic [radiopaedia.org]

Hilar bile duct stricture should be treated surgically according to various etiological features and technical principles of biliary repair. [ncbi.nlm.nih.gov]

Management Endoscopic surgery with insertion of self-expanding metal mesh stents. bile duct stricture Biliary stricture Surgery An abnormal narrowing of the common bile duct, due to local scarring, which may cause biliary obstruction Etiology Prior local [medical-dictionary.thefreedictionary.com]

The most challenging biliary strictures are the indeterminate strictures, which are defined as biliary strictures with unknown etiology following cross-sectional imaging and tissue sampling. [acgcasereports.gi.org]

The main etiology of bile duct strictures closely related to the liver is a malignancy (cancer). However, the differentiation of benign and malignant strictures is notoriously difficult. [sciencedaily.com]

Epidemiology

Epidemiology Frequency United StatesAlthough quite uncommon, the exact prevalence of bile duct strictures (biliary strictures) is unknown. [thehealthscience.com]

Gastroenterology and Hepatology (34) Surgery, Traumatology and Orthopaedics (32) Infectology (31) Anatomy (26) Histology, Embryology (24) Microbiology (23) Pharmacology (19) Emergency Medicine (17) Respiratory Medicine (17) Immunology, Allergology (16) Epidemiology [portal.mefanet.cz]

The report, which utilized the Surveillance, Epidemiology, and End Results (SEER) database of the National Cancer Institute, also determined that the risk of aggressive thyroid cancer in patients with malignant struma ovarii is high. [emedicine.medscape.com]

[…] malignant thyroid tissue Most common thyroid malignancy to occur in struma ovarii is papillary thyroid carcinoma, followed by follicular carcinoma ICD coding ICD-10: D27.9 - benign neoplasm of unspecified ovary ICD-10: C56 - malignant neoplasm of ovary Epidemiology [pathologyoutlines.com]

Linguistic Variant - Portuguese, Brazil) 2015AB LNC-RU-RU (LOINC Linguistic Variant - Russian, Russia) 2015AB LNC-TR-TR (LOINC Linguistic Variant - Turkish, Turkey) 2015AB LNC-ZH-CN (LOINC Linguistic Variant - Chinese, China) 2015AB MCM (Glossary of Clinical Epidemiologic [doctor.am]

Pathophysiology

Pathophysiology Strictures of the bile duct can be benign or malignant. Benign strictures develop when the bile ducts are injured in some way. [thehealthscience.com]

Internal Medicine (55) Medical Chemistry and Biochemistry (54) Pathology and Forensic Medicine (54) Physiology and Pathophysiology (49) Paediatrics, Neonatology (46) Gastroenterology and Hepatology (34) Surgery, Traumatology and Orthopaedics (32) Infectology [portal.mefanet.cz]

[…] coding ICD-10: D27.9 - benign neoplasm of unspecified ovary ICD-10: C56 - malignant neoplasm of ovary Epidemiology Most common type of monodermal teratoma Accounts for 3% of ovarian teratomas (Pathol 2007;39:139) Usually presents in the fifth decade Pathophysiology [pathologyoutlines.com]

Pathophysiology Benign strictures develop due to damage to the bile ducts during surgery or trauma to the abdomen; a recurring condition, such as pancreatitis or bile duct stones; or a chronic disease, such as primary sclerosing cholangitis (PSC). [ncbi.nlm.nih.gov]

Prevention

Biliary-enteric bypass in association with gastric or pancreatic bypasses should be reserved for patients with severe inflammatory changes preventing a safe pancreaticoduodenectomy. [ncbi.nlm.nih.gov]

Doherty Lippincott Williams & Wilkins, 2006 - 826 من الصفحات This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. [books.google.com]

When to Contact a Medical Professional Call your provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention Prevention depends on the cause. [mclarenhealthplan.org]

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