Recent progress of IgG4-related hepatobiliary diseases with emphasis on pathologic aspects and differential diagnosis phlebitisplasma cellsregulatory T cellssclerosing cholangitisIgG4-related disease usually presents with a mass-forming or regional lesion showing considerable ... Y Nakanuma,Y Sato,K Harada...
22. Kimura Y, Takada T, Kawarada Y, et al Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg. 2007;14(1):15-26. doi:10.1007/s00534-006-1152-y. [Context Link] 23. Mosler P. Diagnosis and management of acut...
DIFFERENTIAL DIAGNOSIS AND VARIANT SYNDROMES The term AMA-negative PBC or autoimmune cholangitis has been applied to cases that are clinically, histologically, and biochemically compatible with PBC except for the lack of identifiable AMAs; serum ANA and anti–smooth muscle antibodies may be present in...
A diagnosis of intrahepatic cholestasis is made by demonstrating normal opacification of the whole bile duct with no filling defects, in particular by good filling of the intrahepatic bile ducts. From: Gastrointestinal Endoscopy in Practice, 2011 ...
In late-stage disease, patients can present with obstructive jaundice, cholangitis, or cholangiocarcinoma; other causes of obstructive jaundice, such as biliary tract stones, should be investigated. Diagnosis Stool examination for Opisthorchis or Clonorchis ova is the standard for diagnosis. Other specimen...
The diagnosis is often made after a CXR is done for an unrelated reason. Pulmonary function tests reveal an obstructive ventilatory defect, while ventilation-perfusion scanning will show a matched ventilation and perfusion defect involving the entire affected lung. Patient management is conservative, ...
leak, biliary peritonitis, biliary fistula, pancreatitis or cholangitis. The tubes were removed between days 6 and 8 and the length of the postoperative hospital stay varied from 7 to 15 days. We do not use this alternative because of possible patient discomfort and need for prolonged ...
acute cholangitis, or acute pancreatitis.4,5Hence, prior to the advent of MRCP, endoscopic retrograde cholangiopancreatography (ERCP) was one of the most commonly used methods for the diagnosis of choledochal cyst, especially in the initial management of acute cholangitis, acute pancreatitis and bil...
The diagnosis can usually be made on clinical grounds alone, but a scalp biopsy may be helpful in challenging cases. Pitting or trachyonychia (Fig. 8) are associated nail findings that may be seen in some patients, and may be helpful clues to the diagnosis.14,15 For most patients, the ...
Floxuridine (FUDR) given by pump infusion via the hepatic artery for treatment of colonic carcinoma metastatic to the liver has led to a high incidence of sclerosing cholangitis119,120,122 (see Fig. 12.15). The blebbing, necrosis, inflammation and distortion of the biliary tree has been called...