1.Two Cases of the Endoscopic Treatment of Type I Mirizzi Syndrome.
Chang Gyun CHUN ; Do Hyun PARK ; Ji Won LYU ; Yun Suk SHIM ; Jeong Hoon PARK ; Suck Ho LEE ; Hong Soo KIM ; Sang Heum PARK ; Sun Joo KIM
Korean Journal of Gastrointestinal Endoscopy 2007;34(1):60-64
Mirizzi syndrome is commonly defined as a common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct. Mirizzi syndrome has traditionally been treated surgically. However, there are several case reports and small series describing endoscopic and percutaneous alternatives to open surgery. We encountered two cases of type I Mirizzi syndrome that was successfully treated endoscopically. We report these cases with a review of the relevant literature.
Cystic Duct
;
Hepatic Duct, Common
;
Mirizzi Syndrome*
2.An Unusual Cause of Acute Pancreatitis: Annular Pancreas and Papillary Opening of the Cystic Duct.
Adnan TAS ; Seyfettin KOKLU ; Erdem KOCAK ; Erdem AKBAL ; Bilal ERGUL
Gut and Liver 2012;6(3):403-404
No abstract available.
Cystic Duct
;
Pancreas
;
Pancreatic Diseases
3.Choledochal Cyst Associated with Cystic Duct Dilatation: Report of Three Cases.
Journal of the Korean Radiological Society 2005;53(3):191-194
Traditionally, it has been accepted that choledochal cysts are cystic dilatations of the extrahepatic duct. The association of this anomaly with cystic dilatations of cystic duct is extremely rare. Here in three cases of choledochal cysts with cystic duct dilatations, unusual variant of choledochal cyst are described. In all three cases, MRCP showed that the dilated cystic duct communicates with a common duct through a wide opening.
Choledochal Cyst*
;
Cystic Duct*
;
Dilatation*
4.Endoscopic Treatment with ESWL of Impacted Cystic Duct Stones.
Jong Ho MOON ; Young Deok CHO ; Gyu Ho PARK ; Su Jin HONG ; Dong Hwa SONG ; Yun Soo KIM ; Moon Sung LEE ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1998;18(6):863-871
BACKGROUND/AIMS: The established treatment for cystic duct stones is surgery, but nonoperative removal of gallstones through percutaneous cholecystostomy can also be a useful procedure in patients at high risk for surgery. Conventional methods using endoscopic or percutaneous stone extraction usually fail due to the inability to access or capture the cystic duct stones in the narrow, long, spiral portion of the cystic duct, especially in impacted cases. As a result stone fragmentation is required during endoscopic stone removal. It is impossible for an electrohydraulic lithotripsy (EHL) to gain access to the stones, due to the rigid distal metal tip of the lithotripter and the narrowness of the long, spiral cystic duct. Using extracorporeal shockwave lithotripsy (ESWL) to disintegrate gallstones is a more effective method for removal of cystic duct stones. Experiences of endoscopic treatment for cystic duct stones of patients with high risk for surgery were reviewed, and conclusions are included in this study. METHODS: Patient records of endoscopic management of cystic duct stones between January, 1994 and December, 1997, were reviewed for methods and results of treatment. Most of the patients had undergone lithotripsy followed by percutaneous transhepatic cholecystostomy.
Cholecystostomy
;
Cystic Duct*
;
Gallstones
;
Humans
;
Lithotripsy
5.A Case of Cystic Duct Carcinoma with Hepatic Duct Invasion.
Chang Hyun LEE ; Youn Joo KIM ; Woo Hyun PAIK ; Jae Kyung LEE ; Goh Eun CHUNG ; Sang Hyup LEE ; Ji Kon RYU ; Yong Tae KIM ; Yong Bum YOON ; Dong Chul KIM ; Se Hyung KIM ; Jin Young JANG
Korean Journal of Gastrointestinal Endoscopy 2006;33(3):178-182
A primary carcinoma of the cystic duct is extremely rare, accounting for 2.6% of all biliary carcinomas. However, the prognosis is better than other biliary carcinomas. The median survival is 20.4 months. In Korea, three cases have been reported and there is no case where a pre-operative MRI has been performed. We report a case of a primary carcinoma of the cystic duct with hepatic duct invasion, which presented as a painless right upper quadrant mass, that was diagnosed by MRCP in a pre-operative situation.
Cystic Duct*
;
Hepatic Duct, Common*
;
Korea
;
Magnetic Resonance Imaging
;
Prognosis
6.Double gallbladder completely enclosed in a cystogastric fold of peritoneum.
Satheesha B NAYAK ; Surekha Devadasa SHETTY ; Sudarshan SURENDRAN ; Raghu JETTI ; Naveen KUMAR ; Srinivasa Rao SIRASANAGANDLA
Anatomy & Cell Biology 2014;47(2):132-134
Double gallbladder is one of the rare congenital anomalies of the gallbladder. Failure to detect an accessory gallbladder hampers diagnosis and treatment of cholecystitis, which might result in recurrent attacks of cholecystitis. In addition, presence of peritoneal folds extending from the stomach and duodenum to the gallbladder is very rare. Here we report the presence of a double gallbladder enclosed in a cystogastric fold of the peritoneum. During cadaveric dissection, we observed a cystogastric peritoneal fold that extended from the lesser curvature of the stomach and the first part of the duodenum to the gallbladder. The left end of the peritoneal fold merged with the lesser omentum. It enclosed two gallbladders: the main gallbladder and a small accessory gallbladder. The accessory gallbladder was a small pouch with its fundus attached to the main gallbladder by fibrous tissue, and its duct opened into the main cystic duct.
Cadaver
;
Cholecystitis
;
Cystic Duct
;
Diagnosis
;
Duodenum
;
Gallbladder*
;
Omentum
;
Peritoneum*
;
Stomach
7.Double gallbladder completely enclosed in a cystogastric fold of peritoneum.
Satheesha B NAYAK ; Surekha Devadasa SHETTY ; Sudarshan SURENDRAN ; Raghu JETTI ; Naveen KUMAR ; Srinivasa Rao SIRASANAGANDLA
Anatomy & Cell Biology 2014;47(2):132-134
Double gallbladder is one of the rare congenital anomalies of the gallbladder. Failure to detect an accessory gallbladder hampers diagnosis and treatment of cholecystitis, which might result in recurrent attacks of cholecystitis. In addition, presence of peritoneal folds extending from the stomach and duodenum to the gallbladder is very rare. Here we report the presence of a double gallbladder enclosed in a cystogastric fold of the peritoneum. During cadaveric dissection, we observed a cystogastric peritoneal fold that extended from the lesser curvature of the stomach and the first part of the duodenum to the gallbladder. The left end of the peritoneal fold merged with the lesser omentum. It enclosed two gallbladders: the main gallbladder and a small accessory gallbladder. The accessory gallbladder was a small pouch with its fundus attached to the main gallbladder by fibrous tissue, and its duct opened into the main cystic duct.
Cadaver
;
Cholecystitis
;
Cystic Duct
;
Diagnosis
;
Duodenum
;
Gallbladder*
;
Omentum
;
Peritoneum*
;
Stomach
8.Coexistence of multiple anomalies in the hepatobiliary system.
Seyed Hadi ANJAMROOZ ; Hassan AZARI
Anatomy & Cell Biology 2012;45(1):62-65
The co-occurrence of several anomalies in the hepatobiliary system is uncommon. In the present study, hepatic lobe anomalies occurring in combination with hepatic artery and biliary variations were observed in an adult male cadaver. There are no previous reports in the literature on the coexistence of such anatomical variations. Preoperative diagnosis of such coexisting anomalies is very difficult. Hence, a thorough knowledge of these variations will enable surgeons to select the most appropriate hepatobiliary surgical procedure and postoperative management.
Adult
;
Cadaver
;
Cystic Duct
;
Gallbladder
;
Hepatic Artery
;
Humans
;
Liver
;
Male
9.Endoscopic Treatment of a Case of Post-cholecystectomy Mirizzi Syndrome.
Jeong Min LEE ; Jin Seok PARK ; Seok JEONG ; Don Haeng LEE ; Seong Huan CHOI ; Shin Il KIM ; Min Ju KIM ; Gwang Seok YOON
Korean Journal of Pancreas and Biliary Tract 2014;19(4):199-203
Mirizzi's syndrome (MS) caused by the retention of a stone in the cystic duct stump after cholecystectomy is rare. Most cases of MS are treated by surgical intervention. However, developments of endoscopic accessories and techniques have resulted in the recent introduction of endoscopic treatments for MS. Furthermore, in view of the postoperative morbidity caused by post-operative scarring, the endoscopic approach should be preferred to the surgical approach. In the described case, the authors were able to remove a remnant cystic duct stone endoscopically because the cystic duct stump was wide and non-tortuous. This case shows endoscopic retrograde cholangiopancreatography with mechanical lithotripsy can be utilized in suitable cases of type I MS development after cholecystectomy.
Cholangiopancreatography, Endoscopic Retrograde
;
Cholecystectomy
;
Cicatrix
;
Cystic Duct
;
Lithotripsy
;
Mirizzi Syndrome*
10.Two Cases of Vulvar Syringoma.
Joon Hwan PARK ; Hyo Jun KANG ; Han Young WANG ; Ho Suk SUNG
Korean Journal of Dermatology 1995;33(1):193-196
We report two cases of vulvar syringorna in a 40-year-old women and a 28-year-old woman who had 2-3mm sized, brownish papules on both valvar areas an l-3rnm sized, yellow-brownish papules on both vulvar ares with yellowish milia-like lesion the surface, respectively. Microscopically the lesions revealed characteristic findings of syrinzoiza However the second case showed a small cystic duct in the papillary dermis, which is lineilly a stratified epithelium and filled with concenteric lamellae of keratin.
Adult
;
Cystic Duct
;
Dermis
;
Epithelium
;
Female
;
Humans
;
Syringoma*
;
Vulva