Liang SY, Lu JG, Wang ZD. Imaging misdiagnosis and clinical analysis of significant hepatic atrophy after bilioenteric anastomosis: A case report. World J Clin Cases 2023; 11(29): 7234-7241 [PMID: 37946761 DOI: 10.12998/wjcc.v11.i29.7234]
Corresponding Author of This Article
Zong-Ding Wang, MD, PhD, Director, Doctor, Department of Hepatobiliary Surgery, Fengjie County People's Hospital, No. 2 Kangning Street, Yong-an Town, Chongqing 404600, China. 251286438@qq.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 16, 2023; 11(29): 7234-7241 Published online Oct 16, 2023. doi: 10.12998/wjcc.v11.i29.7234
Imaging misdiagnosis and clinical analysis of significant hepatic atrophy after bilioenteric anastomosis: A case report
Shao-Yong Liang, Jian-Guo Lu, Zong-Ding Wang
Shao-Yong Liang, Zong-Ding Wang, Department of Hepatobiliary Surgery, Fengjie County People's Hospital, Chongqing 404600, China
Jian-Guo Lu, Department of Radiology, Fengjie County People's Hospital, Chongqing 404600, China
Author contributions: Liang SY and Lu JG contributed equally to this work; Wang ZD designed the research study; Liang SY and Lu JG analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors declare they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zong-Ding Wang, MD, PhD, Director, Doctor, Department of Hepatobiliary Surgery, Fengjie County People's Hospital, No. 2 Kangning Street, Yong-an Town, Chongqing 404600, China. 251286438@qq.com
Received: August 16, 2023 Peer-review started: August 16, 2023 First decision: September 4, 2023 Revised: September 10, 2023 Accepted: September 19, 2023 Article in press: September 19, 2023 Published online: October 16, 2023
Core Tip
Core Tip: This case report presents a recurrent occurrence of acute cholangitis caused by persistent stenosis following a bilioenterostomy, leading to the development of the hepatic atrophic hyperplasia complex. This complex is characterized by notable atrophy in the left and right hepatic lobes and significant hyperplasia in the caudate lobe. The preoperative imaging failed to accurately detect these anatomical alterations, and the subsequent delayed puncturing of the liver envelope through puncture drainage resulted in biliary peritonitis and ultimately, mortality. Therefore, a comprehensive preoperative surgical history, precise comprehension of anatomical anomalies and pathological changes are crucial for effective management in such cases.
