Current status of percutaneous transhepatic biliary drainage in palliation of malignant
obstructive jaundice: A review.
In conclusion, the use of probiotics in rat models with
obstructive jaundice resulted in improvement in biochemical parameters, significantly reduced pathology in the liver and terminal ileum, and reduced bacterial translocation in mesenteric lymph node, spleen, and blood cultures.
Postoperative ERCP was performed in patients with external biliary fistulae following cyst surgery, new onset cholangitis,
obstructive jaundice, or postoperative biloma (after percutaneous catheterization with a permanent fistula).
Ji, "A systematic review and meta-analysis of intraluminal brachytherapy versus stent alone in the treatment of malignant
obstructive jaundice," Cardiovascular and Interventional Radiology, vol.
Lin, "Annular pancreas with
obstructive jaundice: beware of underlying neoplasm," Pancreas, vol.
Obstructive jaundice caused by tuberculosis is a rare disorder which can mimic other noninfectious causes and can be overlooked due to low incidence.
In addition, the
obstructive jaundice of IAC may disappear after glucocorticoid treatment, while biliary duct malignancies do not respond to steroids.[3] Final pathological diagnosis is the gold standard for diagnosing IAC, which is characterized as dense lymphoplasmacytic infiltration, marked increase of IgG4-positive plasma cells, storiform fibrosis, and obliterative phlebitis.
Patient was admitted with suspicion of biliary
obstructive jaundice and for further workup.
All patients enrolled in this study were diagnosed as having inoperable malignant
obstructive jaundice based on clinical symptoms (jaundice, dark-colored urine, and pale stool), laboratory examinations (elevated bilirubin levels, alkaline phosphatase levels, and gamma glutamyl transferase levels), and imaging examinations including transabdominal ultrasound, computed tomography (CT) scan of the abdomen, magnetic resonance cholangiopancreatography (MRCP), and EUS.
Obstructive jaundice (OJ) is caused by a mechanical obstruction of the extrahepatic or intrahepatic bile ducts due to stones, tumor, inflammation, or other causes [2].
The presentation is slow and insidious, with nonspecific signs and symptoms of epigastric pain, fever, anorexia and weight loss,
obstructive jaundice, and sometimes a mass lesion that may be clinically indistinguishable from a neoplasm.
However, very few case reports of
obstructive jaundice from metastatic malignant melanoma to the ampulla of Vater have been reported.