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Two Cases of Type Va Extrahepatic Bile Duct Duplication With Distal Klatskin Tumor Surgically Treated with Whipple Procedure and Hepaticojejunostomy.

Hammad TA, Alastal Y, Khan MA, Hammad M, Alaradi O, Nigam A, Sodeman TC, Nawras A - ACG Case Rep J (2015)

Bottom Line: We describe the diagnostic and therapeutic challenges of a type Va extrahepatic bile duct duplication coexistent with distally located hilar cholangiocarcinoma (Klatskin tumor).We present 2 cases that were diagnosed preoperatively and treated with a modified surgical technique of a combined pylorus-preserving Whipple procedure and hepaticojejunostomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH.

ABSTRACT
We describe the diagnostic and therapeutic challenges of a type Va extrahepatic bile duct duplication coexistent with distally located hilar cholangiocarcinoma (Klatskin tumor). We present 2 cases that were diagnosed preoperatively and treated with a modified surgical technique of a combined pylorus-preserving Whipple procedure and hepaticojejunostomy.

No MeSH data available.


Related in: MedlinePlus

(A) Proximal ends (arrows) of the right and left extrahepatic bile ducts after surgical transaction. (B) The head of pancreas with the duodenum after pancreatoduodenectomy. The surgical clamps point to the distal ends of the right and left extrahepatic bile ducts after transaction.
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Figure 6: (A) Proximal ends (arrows) of the right and left extrahepatic bile ducts after surgical transaction. (B) The head of pancreas with the duodenum after pancreatoduodenectomy. The surgical clamps point to the distal ends of the right and left extrahepatic bile ducts after transaction.

Mentions: Both patients were referred for pylorus-preserving Whipple surgery with hepaticojejunostomy. The intra-operative evaluation and surgical pathology confirmed the diagnosis of type Va extrahepatic bile duct duplication with cholangiocarcinoma involving a distally located Klatskin tumor (Figure 6).


Two Cases of Type Va Extrahepatic Bile Duct Duplication With Distal Klatskin Tumor Surgically Treated with Whipple Procedure and Hepaticojejunostomy.

Hammad TA, Alastal Y, Khan MA, Hammad M, Alaradi O, Nigam A, Sodeman TC, Nawras A - ACG Case Rep J (2015)

(A) Proximal ends (arrows) of the right and left extrahepatic bile ducts after surgical transaction. (B) The head of pancreas with the duodenum after pancreatoduodenectomy. The surgical clamps point to the distal ends of the right and left extrahepatic bile ducts after transaction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4612759&req=5

Figure 6: (A) Proximal ends (arrows) of the right and left extrahepatic bile ducts after surgical transaction. (B) The head of pancreas with the duodenum after pancreatoduodenectomy. The surgical clamps point to the distal ends of the right and left extrahepatic bile ducts after transaction.
Mentions: Both patients were referred for pylorus-preserving Whipple surgery with hepaticojejunostomy. The intra-operative evaluation and surgical pathology confirmed the diagnosis of type Va extrahepatic bile duct duplication with cholangiocarcinoma involving a distally located Klatskin tumor (Figure 6).

Bottom Line: We describe the diagnostic and therapeutic challenges of a type Va extrahepatic bile duct duplication coexistent with distally located hilar cholangiocarcinoma (Klatskin tumor).We present 2 cases that were diagnosed preoperatively and treated with a modified surgical technique of a combined pylorus-preserving Whipple procedure and hepaticojejunostomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH.

ABSTRACT
We describe the diagnostic and therapeutic challenges of a type Va extrahepatic bile duct duplication coexistent with distally located hilar cholangiocarcinoma (Klatskin tumor). We present 2 cases that were diagnosed preoperatively and treated with a modified surgical technique of a combined pylorus-preserving Whipple procedure and hepaticojejunostomy.

No MeSH data available.


Related in: MedlinePlus