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Follicular dendritic cell sarcoma detected in hepatogastric ligament:A case report and review of the literature

World Journal of Clinical Cases 2019年第1期7卷 116-121页

作者： Wen-Xin Yan You-Xi Yu Ping Zhang Xing-Kai Liu Yan Li Department of Hepatobiliary and Pancreatic Surgery the First Hospital of Jilin University Department of Surgery School of Medicine University of Louisville

The most common organ where follicular dendritic cell sarcoma(FDCS) occurs is in cervical lymph nodes, while few cases are found in extranodal organs such as liver, spleen, and soft tissue. This is a case report that FDCS occurs in the hepatogastric ligament. To our knowledge, there is no such case that has been reported previously. A 47-year-old male patient was found to have an intraabdominal mass during an annual physical examination. Computed tomography showed a 4.2 cm × 4.1 cm mass located at the lesser curvature of the stomach, above the pancreas. During operation, a tumor mass was found in the hepatogastric ligament and a radical resection was performed. The tumor was diagnosed as FDCS by pathology and immunohistochemical testing. The patient had a favorable recovery, and no obvious abnormality was found 3 months postoperation.

关键词： Follicular dendritic cell sarcoma hepatogastric ligament Pathology Immunohistochemistry Computed tomography Case report

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Unusual complication of amebic liver abscess: hepatogastric fistula

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World Journal of Gastrointestinal Endoscopy 2015年第9期7卷 916-919页

作者： Sunil V Pawar Vinay G Zanwar Pravir A Gambhire Ashok R Mohite Ajay S Choksey Pravin M Rathi Dileep S Asgaonkar Department of Gastroenterology 7th floor OPD building Topiwala National Medical College and Bai Yamunabai Laxman Nair HospitalMumbai Central Department of Medicine 1st floor College buildingTopiwala National Medical College and Bai Yamunabai Laxman Nair HospitalMumbai Central

Amebic liver abscess is a parasitic disease which is often encountered in tropical countries. A hepatogastric fistula secondary to an amebic liver abscess is a rare complication of this disease and there are only a handful of reported cases in literature. Here we present a case of an amebic liver abscess which was complicated with the development of a hepatogastric fistula. The patient presented with the Jaundice, pain and distension of abdomen. The Jaundice and pain improved partially after he had an episode of brownish black colored increase in frequency of stools for 5 to 6 d. Patient also had ascites and anemia. He was a chronic alcohol drinker. Esophagogastroduodenoscopy performed in view of the above findings. It showed a fistulous opening with bilious secretions along the lesser curvature of the stomach. On imaging multiple liver abscesses seen including one in sub capsular location. The patient was managed conservatively with antiamebic medications along with proton pump inhibitors. The pigtail drainage of the sub capsular abscess was done. The patient improved significantly. The repeat endoscopy performed after about two months showed reduction in fistula size. A review of the literature shows that hepatogastric fistulas can be managed conservatively with medications and drainage, endoscopically with biliary stenting or with surgical excision.

关键词： Amebic liver abscess hepatogastric fistula Esophagogastroduodenoscopy Entaameba histolytica Ultrasonography Computed tomography

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Massive upper gastrointestinal hemorrhage due to invasive hepatocellular carcinoma and hepato-gastric fistula

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World Journal of Gastroenterology 2013年第42期19卷 7472-7475页

作者： Hari Sayana Osama Yousef Wendell K Clarkston Section of Gastroenterology and Hepatology Department of Internal MedicineUniversity of Missouri Kansas CityKansas CityMO 64108-2640United States

A 36-year-old male Asian immigrant with a history of hepatitis B and hepatitis C related unresectable hepatocellular carcinoma in the left lobe of the liver presented with hematemesis and severe *** was diagnosed with a liver mass that was resected 8 years ago described as a benign tumor in his home *** had received trans-arterial chemoembolization(TACE)four months ago after subsequent diagnosis of unresectable hepatoma,and currently was receiving chemotherapy with *** resuscitation,a contrast enhanced computerized tomography was performed which showed fistulization of hepatocellular carcinoma into adjacent *** finding was confirmed during endoscopy with direct visualization of the fistulous *** carcinoma(HCC)invading the gastrointestinal(GI)tract is *** present a case and literature review of HCC with local invasion of the stomach causing massive upper GI bleeding after receiving TACE.

关键词： Hepatocellular carcinoma hepatogastric fistula Fistula Upper gastrointestinal bleeding

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Comprehensive review on EUS-guided biliary drainage

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World Journal of Gastrointestinal Endoscopy 2019年第5期11卷 354-364页

作者： Raffaele Salerno Sophia Elizabeth Campbell Davies Nicolò Mezzina Sandro Ardizzone Gastroenterology and Digestive Endoscopy Unit ASST Fatebenefratelli Sacco-Department of Biochemical and Clinical Sciences "L. Sacco"University of Milan Hospital Pharmacy ASST Fatebenefratelli SaccoPiazza Principessa Clotilde

Feasibility of endoscopic retrograde cholangiopancreatography(ERCP) for biliary drainage is not always applicable due to anatomical alterations or to inability to access the papilla. Percutaneous transhepatic biliary drainage has always been considered the only alternative for this indication. However,endoscopic ultrasonography-guided biliary drainage represents a valid option to replace percutaneous transhepatic biliary drainage when ERCP fails. According to the access site to the biliary tree,two kinds of approaches may be described: the intrahepatic and the extrahepatic. Endoscopic ultrasonography-guided rendezvous transpapillary drainage is performed where the second portion of the duodenum is easily reached but conventional ERCP fails. The recent introduction of self-expandable metal stents and lumen-apposing metal stents has improved this field. However,the role of the latter is still controversial. Echoendoscopic transmural biliary drainage can be challenging with potential severe adverse events. Therefore,trained endoscopists,in both ERCP and endoscopic ultrasonography are needed with surgical and radiological backup.

关键词： Endoscopic ultrasonography-guided biliary drainage EUS Percutaneous transhepatic biliary drainage Endoscopic ultrasonography-guided hepatogastric anastomosis Endoscopic ultrasonography-guided antegrade stent placement Endoscopic ultrasonography-guided choledochoduodenostomy Endoscopic ultrasonography-guided transgallbladder Endoscopic ultrasonography-guided rendezvous

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