Table 4

Details of patients who underwent surgery (n = 14)

No.

Age/sex

Working diagnosis

Per-op findings

Surgical Procedure

Final diagnosis


1

19/F

Haemobilia Infected hydatid cyst

SOL segment VIII 5 × 5 cm containing blood mixed purulent material, CBD dilated with clot

Segment VIII excision with CBD exploration and T-tube drainage.

Hepatic TB

2

60/M

Sol liver ? possibly HCC

SOL in segment 2 and 3, enlarged LN in hepatoduodenal ligament, distended GB, dilated CBD, enlarged spleen with blackish spots

Left lateral segmentectomy with splenectomy and chlecystojejunostomy

Hepatic TB, splenic TB.

3

46/M

Carcinoma GB

Mass in fundus GB, involving segment 4 of liver adherent to duodenum, multiple enlarged LN, CBD 8 mm

Enbloc resection of GB, segment IVB, V, with LN resection antrum and 1st part duodenum, GJ.

GB TB

4

41/M

Haemobilia

GB thick walled with necrosed posterior wall contained clots, CBD not dilated, multiple nodules over parietal, visceral peritoneum

Cholecsytectomy with omental biopsy

GB TB

5

33/F

GB polyp

GB contained polypoidal mass, few enlarged mesenteric LN, tubo-ovarian mass

Cholecystectomy and lymph node biopsy

GB TB

6

35/M

Carcinoma GB with gallstones

GB contracted and thick walled, type I Mirizzi syndrome, proximal CBD dilated with multiple enlarged periportal LN, no stones in GB and CBD.

Cholecystectomy with CBD exploration with T tube drainage with LN biopsy

Periportal LN TB, Chronic cholecystitis

7

70/M

Carcinoma GB

GB thickened with multiple stones, no obvious mass, CBD dilated with 1.5 cm stone, enlarged LN along periportal region

Cholecystectomy with CBD exploration with T tube drainage with Frozen section

Periportal LN TB* chronic cholecystitis

8

46/F

Carcinoma head of pancreas

Large abscess cavity extending from caudate to retroduodenal area, multiple gallstones, CBD dilated 1.5 cm

Exploratory laparotomy + frozen section + cholecystectomy & Roux en y choledochojejeunostomy

Periportal LN TB* Chronic cholecystitis

9

56/F

Cholangiocarcinoma

Mass in mid-CDB circumferential, encasing portal vein and right hepatic artery, multiple LN

Palliative hepaticojejunostomy, LN biopsy, CBD bx

Bile duct TB

10

55/F

Cholangiocarcinoma

Mass CBD with multiple enlarged LN, confluence patent, no liver metastasis

Hepaticojejunostomy with frozen section

Periportal LN TB*bile duct no evidence of malignancy

11

37/M

Pancreatitis, left sided portal hypertension, biliary stricture

Hard shrunken pancreas with multiple collaterals, splenomegaly, dilated CBD

Distal pancreatectomy, splenectomy with choledochojejunostomy

Pancreatic TB

12

60/M

Periampullary carcinoma

Mass periampullary region 2 cm size, dilated CBD, small GB, few LN

Whipple pancreaticoduodenectomy with FJ

Peripancreatic LN TB

13

21/M

Periampullary carcinoma

Bulky head with enlarged peripancreatic, pericholedochal, and paraduodenal LN

Whipple pancreaticoduodenectomy with FJ

Pancreatic and peripancreatic LN TB

14

30/M

Periampullary carcinoma

Mass lower end CBD, 3 × 3 cm infiltrating pancreas with dilated CBD

Whipple pancreaticoduodenectomy with FJ

Pancreatic and peripancreatic LN TB


* Diagnosis obtained from tissue intraoperatively from frozen section

• Tissue sent for frozen section did not provide a diagnosis

Saluja et al. BMC Surgery 2007 7:10   doi:10.1186/1471-2482-7-10

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