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Laparoscopic common bile duct exploration for choledocholithiasis on an emergency setting.
Surg Endosc
December 2024
General and Digestive Surgery Department, Hepato-Biliary and Pancreatic Surgery Unit, Valme University Hospital, Ctra. de Cádiz Km548.9. 41014, Seville, Spain.
Introduction: Choledocholithiasis is a common clinical condition that may present with severe complications such as acute cholecystitis or cholangitis, requiring treatment on an emergency setting. This situation is frequently managed following an endoscopic approach by ERCP. However, access to emergent endoscopic biliary decompression is lacking in most centers.
View Article and Find Full Text PDFPerioperative analgesic management using bilateral ultrasound-guided lateral quadratus lumborum block in a dog with extrahepatic biliary obstruction.
Can Vet J
December 2024
Department of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas 77843, USA (Watanabe); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2 (Watanabe, Cruz Benedetti, Garbin); Division of Pediatric Anesthesia, Montreal Children's Hospital, McGill University, Montreal, Quebec H4A 3J1 (Bertolizio).
Extrahepatic bile-duct obstruction is commonly caused by pancreatitis in canines. Surgical decompression of the biliary tree is required when medical management is unsuccessful. The clinical presentation often includes severe vomiting and abdominal pain requiring targeted analgesic and anesthetic protocols.
View Article and Find Full Text PDFManagement of Acute Cholangitis and Choledocholithiasis.
Surg Clin North Am
December 2024
Department of General Surgery, Alaska Native Medical Center in Anchorage, 4315 Diplomacy Drive, Anchorage, AK 99508, USA. Electronic address:
Acute cholangitis is a life-threatening emergency, caused by blockage of bile, most commonly by a gallstone (choledocholithiasis). Stasis of bile leads to an infection in the biliary tree known as cholangitis. Cholangitis is graded into 3 categories according to severity of symptoms.
View Article and Find Full Text PDF[Ectopic biliary varices as a cause of portal biliopathy and mechanical jaundice syndrome].
Khirurgiia (Mosk)
October 2024
Petrovsky National Research Center of Surgery, Moscow, Russia.
The authors consider ectopic biliary varices as a possible cause of portal biliopathy in extrahepatic portal hypertension. The main diagnostic methods including ultrasound CT, MRI, endoscopic ultrasonography, cholangioscopy, difficulties of differential diagnosis and clinical manifestations of portal biliopathy are presented. Various treatment options including portosystemic shunting and endoscopic biliary decompression are discussed.
View Article and Find Full Text PDFSuccessful endoscopic decompression of an intramural duodenal hematoma secondary to pancreatitis causing duodenal and common bile duct obstruction.
Minerva Gastroenterol (Torino)
September 2024
Department of Gastroenterology, St Vincent's Hospital, Darlinghurst, Australia.
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