pseudotumor of the distal common bile duct

... at the junction of the gallbladder neck and the cystic duct by defining the cystic lymph node The node may be swept in the direction of the common bile duct, facilitating the recognition of the ... sided common hepatic duct to form the common bile duct (CBD) The mucosa of the cystic duct is arranged with spiral folds known as the valves of Heister [12] A number of anomalies occur in the gallbladder ... Fibers in the right phrenic nerve may also be distributed to the gallbladder through the hepatic plexus The duct of Luschka The duct of Luschka is a small bile duct, running in the bed of the gallbladder,...

Ngày tải lên: 09/08/2014, 14:22

... dilatation of the extra-hepatic bile duct, or multiple extrahepatic cysts (Id); Type II, diverticulum of the common bile duct; Type III, choledochocele (cystic dilatitation) of the distal common bile duct ... gallbladder, bile ducts, and pancreatic duct The ability to evaluate the pancreas and most distal aspect of the common bile duct/ ampulla with ultrasound is variable, depending upon the nature of surrounding ... is the most common cause of large bile duct disease in children Small duct disorders in the pediatric age group are represented by the group of disorders known as paucity of intrahepatic bile ducts,...

Ngày tải lên: 09/08/2014, 14:22

... visualize the bile ducts at their extremes (i.e the peripheral intrahepatic ducts at one end and the distal common bile duct at the other), the central intrahepatic ducts and especially the common ... In the majority of cases, the following structures can be identified: the common bile duct (CBD), the common hepatic duct, the cystic duct leading to the gallbladder, the gallbladder itself, the ... cystic duct and the upper border of the duodenum, and lower 1/3 tumors arise from the common bile duct between the upper border of the duodenum and the ampulla of Vater For endoscopists, the Bismuth...

Ngày tải lên: 09/08/2014, 14:22

... obstruction of the cystic duct but not the common bile duct b a filling defect seen within the common hepatic duct c compression at the lateral aspect of the common bile duct d malignant obstruction of the ... detail below in the section “Reconstruction of the biliary outflow.” Resection of cholangiocarcinoma of the middle and distal bile duct Tumors of the distal part of the bile duct are less common than ... cent of patients have an aberrant common bile duct from the left hemiliver to the right bile duct In another 6% of the cases an aberrant bile duct originates from the posterior right side of the...

Ngày tải lên: 09/08/2014, 14:22

... surface of the duct rather than to the end of the duct The latter is accomplished by incising the anterior wall of the common hepatic duct, sometimes carrying the incision onto the left duct to ... because of the danger of injury to the common bile duct, especially when there is a parallel union of the cystic duct with the common hepatic duct These issues are not resolved since even today the ... permission from the Journal of the American College of Surgeons.) junction of the aberrant duct with the hepatic duct may be identical to that of the junction of the cystic duct with the hepatic duct As...

Ngày tải lên: 09/08/2014, 14:22

... to 72 hours from the onset of symptoms With the introduction of laparoscopic cholecystectomy at the beginning of the 1990s the question of timing arose again At the beginning of the decade, acute ... primary common duct stones Although the main factors contributing to the formation of primary common duct stones appear to be biliary bacterial infections and stasis of bile in the common duct, ... formed in the gallbladder and passed through the cystic duct into the common duct or the intrahepatic bile ducts Epidemiologic evidence suggests that most common duct stones arise in the gallbladder...

Ngày tải lên: 09/08/2014, 14:22

... Further investigations demonstrate fusiform cystic dilatations of the common bile duct with thickening of the bile duct wall and extension of the cystic abnormalities into the left lobe of the ... represents a diverticulum of the common bile duct Type III has been identified as a choledochocele, which term represents a herniation of the distal end of the common bile duct into the duodenum, resulting ... yellow vessel loop encircling the common bile duct just cranial from the pancreas (B) The excised choledochal cyst of the common bile duct in continuity with the cystic duct and gallbladder A white...

Ngày tải lên: 09/08/2014, 14:22

... demonstrates occlusion of the bile duct bifurcation with narrowing of the right common bile duct The best surgical option for the patient is a resection of the extrahepatic bile duct and hepaticojejunostomy ... in Chapter The most common site is the confluence of the left and right main hepatic bile ducts (perihilar: 67% of the cases) [11] The tumor has a tendency to spread along the bile ducts and perineural ... dilatation of the bile ducts is easily visualized, and the location of the biliary stenosis can be determined At the same time, the patency of the main hepatic artery and portal vein and their branches...

Ngày tải lên: 09/08/2014, 14:22

... patency of the gallbladder and distal duct, or atresia of the distal ducts and patency of the gallbladder and proximal common hepatic ducts The first task of the surgeon is to confirm the diagnosis ... Classification of biliary atresia (Kimura) Type I Atresia of the common bile duct with or without cystic dilatation of proximal ducts Type II Atresia of the common hepatic duct Type III Atresia of all ducts ... junction between the cystic and common hepatic ducts [30] Other sites included the proximal hepatic duct, the cystic duct, and the common duct Perforation in the intrapancreatic bile duct has also...

Ngày tải lên: 09/08/2014, 14:22

... tight stricture at the distal end of the common bile duct, proximal bile duct dilatation, and a very long common channel between the distal common bile dust and pancreatic duct Other factors that ... fraction of 20% b stones in the common bile duct that move up and down the duct after the administration of cholecystokinin c a fusiform dilatation of the bile duct on ultrasound examination of the bile ... become the interlobular bile ducts The ductal plate cells around the periphery of the portal tract normally involute, but some elements remain to form the ducts of Herring that provide the functional...

Ngày tải lên: 09/08/2014, 14:22

... A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature World Journal of Surgical Oncology ... University of Athens, Aretaieion Hospital, 76 Vas Sofias Ave., 11528, Athens, Greece 2Department of Anesthesiology, University of Athens, Aretaieion Hospital, 76 Vas Sofias Ave., 11528, Athens, Greece ... region and the breast [9] A small number of these cells also exist in the biliary tree [10] The rarity of carcinoid tumours in this region are probably explained by the very limited number of the Kulchitsky...

Ngày tải lên: 09/08/2014, 01:24

... measure of the stability of the bound dioxygen In this way, if the values of kobs are plotted against the pH of the solution, we can obtain a stability prole of HbO2 or MbO2 in terms of the autoxidation ... autoxidation of T akamusi hemoglobin VII below pH 6.0, as well as for the b-chain in the autoxidation of the human HbO2 tetramer [11] The other role of the distal histidine is in the maximum protection of ... movement of the distal histidine residue, the Soret absorption spectroscopy is silent in the oxygenated form of Mb or Hb Therefore, another approach will be needed for more detailed kinetics of the...

Ngày tải lên: 20/02/2014, 23:20

... reasonable to assume that the disruption of the H-bond makes the distal His less basic As a consequence the pKa value of the NeH of the distal His is lowered and the rate constant for the reaction with ... suggest a similar role of the distal Asn-His couple in planttype peroxidases The present work also clearly showed that the basicity of the distal His has no impact on the reduction of organic peroxides ... Alignment of amino-acid sequences and inspection of the crystal structures of members of the plant, fungal and bacterial superfamily show the existence of a hydrogen bond between the distal His...

Ngày tải lên: 23/03/2014, 21:20

... included the presence of osteoarthritic lesions of the ankle joint, the residual ankle instability, range of motion, infection, time of union and time of removal of the device as well as the number of ... conceived the idea of the presented study, performed part of the literature review and contributed in drafting of the manuscript and in the interpretation of data TGB performed part of the literature ... injuries of the ankle joint the classification by Lauge-Hansen correlates the type of fracture to the mechanism of injury and the anatomical defects and offers a treatment algorithm [7] The Danis...

Ngày tải lên: 20/06/2014, 04:20

... most cases, the proximal part of the plate was placed under the main body of the pronator quadratus muscle The brachioradialis tendon was partially released from the radial aspect of the styloid; ... carpi radialis tendon and the radial artery The distal part of the pronator quadratus muscle was released from the radius Care was taken to release only the amount of muscle necessary for fracture ... abduction of the arm and supination of the forearm A tourniquet was used, and standard disinfection and draping carried out A distal Henry approach was carried out in the interval between the...

Ngày tải lên: 20/06/2014, 04:20

... with the above hypothesis : in 10 ll A -Cn out of the 13 individuals, allele K-Cn! was represented by the 8.6 kb band, in two suggested individuals, by the 5.8 kb band, the being that otherwise ... using the « multi9 2p)dCTP Xl prime DNA labelling system RPN 1601 » of Amersham D at the Preparation and Southern blot analysis of genomic DNA Southern blot analysis was performed according to the ... with the genotypes deduced from electrophoresis of the protein indicated Figure Besides a that the genotype K gave only the 5.5 kb fragment, while the genotype K ’b -Cn -Cn^’&dquo; gave both the...

Ngày tải lên: 09/08/2014, 22:22

... analyzed the pathological features of the specimen MJE and MHF have given final approval of the version to be published All authors read and approved the final manuscript Competing interests The authors ... al.: Inflammatory pseudotumor of the kidney: a case report Journal of Medical Case Reports 2011 5:411 Consent Written informed consent was obtained from the patient for publication of this case report ... A copy of the written consent is available for review by the Editor-in-Chief of this journal Author details Department of Urology, Hassan II Teaching Hospital, Fes, Morocco Department of Pathology,...

Ngày tải lên: 10/08/2014, 23:20

... to the retroperitoneal space via a perforation in the performance of the sphincterotomy [1] Our case also involved ERCP with papillotomy, a possible port of entry for the bacterium The common duct ... parainfluenza is a common inhabitant of the mucosal surfaces of the human upper respiratory tract [4] There is a possibility that the patient may have subsequently coughed up and swallowed the H parainfluenza, ... induction of anesthesia The choledocolith was removed by choledocotomy performed on the palpable stone A CBD Ttube was placed, brought out through the lateral abdominal wall, and attached to the...

Ngày tải lên: 11/08/2014, 12:20

... mm/h and the level of serum C-reactive protein was 3.20 g/l Serum levels of immunoglobulin (Ig)E, IgG, IgM and IgA1 were in the normal range Occurrences of the lesion in other parts of the patient's ... cytokines in the microenvironment of the bladder might have played an important role in the chemotactic immigration of the extrinsic source of the eosinophilic cells This is in agreement with another ... pelvis revealed a solid homogeneic mass involving the wall of the dome and two lateral walls of the urinary bladder; the average thickness of the bladder wall was 1.9 cm (Figure 1A) CT scan with...

Ngày tải lên: 11/08/2014, 17:21

... anterior dislocation of the radial head; the second most common is fracture of the proximal third of the ulna, lateral angulation of the fracture and lateral dislocation of the radial head; proximal ... described [1] These were described according to the direction of the radial head subluxation: the most common (75%) is fracture of the proximal third ulna, anterior angulation of the fracture ... separation of the distal radial physis [4]; type IV Monteggia injury with distal diaphyseal fracture of the radius [5]; 11 cases of Monteggia fracture dislocation with fracture of the ipsilateral...

Ngày tải lên: 11/08/2014, 21:22