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Bülent Guclu, Tufan Hicdonmez, Utku Adilay, Yunus Emre Altuntas
Ventriculo gallblader shunt is very rarely used in the treatment of hydrocephalus. A 44 year old male with ventriculoatrial shunt dysfunction was evaluated. His ventriculoatrial shunt was not working. His medical history revealed that his hydrocephalus was treated five times by venrtriculoperitoneal shunt, four times by ventriculoatrial shunt. Another trial for ventriculoperitoneal or ventriculoatrial shunting was not considered feasible. Ventriculo-gallbladder shunt as potential salvage procedure was placed to the patient...
July 29, 2017: Turkish Neurosurgery
Tomoki Ebata, Giorgio Ercolani, Domenico Alvaro, Dario Ribero, Luca Di Tommaso, Juan W Valle
BACKGROUND: Cholangiocarcinomas (CC) as well as gallbladder cancers are relatively rare and intractable diseases. Clinical, pathological, and epidemiological studies on these tumors have been under investigation. The current status and/or topics on biliary tract cancers have been reported in the East West Association of Liver Tumor (EWALT), held in Milano, Italy in 2015. SUMMARY: All the authors, herein, specifcally reported the current status and leading-edge findings on biliary tract cancers as the following sequence: epidemiology of CC, surgical therapy for intrahepatic CC, surgical therapy for perihilar CC, surgical therapy for gallblad der cancer, chemotherapy for biliary tract cancers, and new histological features in CC...
November 2016: Liver Cancer
Grażyna Krzemień, Tomasz Książczyk, Agnieszka Szmigielska, Przemysław Bombiński, Maria Roszkowska-Blaim, Bożena Werner, Michał Brzewski
UNLABELLED: Biliary sludge and/or biliary pseudolithiasis occur in patients treated with ceftriaxone with prevalence of 3-57%. Biliary obstruction can be the cause of the acute gallbladder enlargement. It is a minor complication, that usually does not give clinical symptoms and resolves once the drug is discontinued. The authors present a case of a 5-month old boy treated for the acute pyelonephritis. Routine ultrasound, performed on the 5th day of treatment with ceftriaxone, showed gallbladder enlargement...
April 2015: Developmental Period Medicine
Sorin Vasile Miftode, Achim Troja, Nader El-Sourani, Hans-Rudolf Raab, Dalibor Antolovic
The higher incidence of gallstone formation after gastrectomy for cancer has been reported as a common complication in many studies but the management strategies are still controversial and need further evaluation. We retrospectivaly analysed between 2007 and 2013, 206 patients who underwent gastric and or oesophageal resection. In 29/93 patients receiving an oesophagectomy a simultaneous cholecystectomy was performed, respectively 31 from 111 patients who underwent a gastrectomy received an incidental cholecystectomy...
December 2014: International Journal of Surgery
Ismail Ozsan, Mustafa Ozsoy, Erkan Sahin, Ragıp Ortaç, Unal Aydın
BACKGROUND: Inflammatory myofibroblastic tumors are rare benign tumors that can mimic malignancy. Their precise aetiology is unknown. They are seen more frequently in childhood and the most common involvement is seen in the lungs. Primary inflammatory myofibroblastic tumors of the gallbladder are rather infrequent. The present knowledge is based on case reports. CASE REPORT: A 66 year-old male patient presented to the hospital with complaints of abdominal pain, nausea and vomiting...
September 2013: Balkan Medical Journal
Pietro Comba, Paolo Ricci, Ivano Iavarone, Roberta Pirastu, Carlotta Buzzoni, Mario Fusco, Stefano Ferretti, Lucia Fazzo, Roberto Pasetto, Amerigo Zona, Emanuele Crocetti
INTRODUCTION: The incidence of cancer among residents in sites contaminated by pollutants with a possible health impact is not adequately studied. In Italy, SENTIERI Project (Epidemiological study of residents in National Priority Contaminated Sites, NPCSs) was implemented to study major health outcomes for residents in 44 NPCSs. METHODS: The Italian Association of Cancer Registries (AIRTUM) records cancer incidence in 23 NPCSs. For each NPCSs, the incidence of all malignant cancers combined and 35 cancer sites (coded according to ICD-10), was analysed (1996-2005)...
2014: Annali Dell'Istituto Superiore di Sanità
André Goulart, Margarida Delgado, Maria Conceição Antunes, João Braga Dos Anjos
INTRODUCTION: Laparoscopic cholecystectomy is the gold standard procedure for the treatment of lithiasic gallblader pathology and acute cholecystitis. Whether or not it should be done as ambulatory surgery is still being discussed. The present study aims to analyze the quality and safety of laparoscopic cholecystectomy conducted by the Ambulatory Unit of Hospital de Braga and compare the results with those from other European surgical centers performing LC as ambulatory surgery. MATERIAL AND METHODS: Observational prospective study of patients submitted to laparoscopic cholecystectomy in ambulatory surgery during a period of 26 months...
September 2013: Acta Médica Portuguesa
Ram Gopal Sharma, Sunder Goyal, Amit Mittal, Kiran Singhal
Main cause of gallbladder perforation is cholecystitis with or without stones. In old age, spontaneous perforation of gallbladder can be due to decreased blood supply which can be as the result of atherosclerosis, focal vasospasm or localized vasculitis. Perforation is associated with high morbidity and mortality if left untreated. Here, we report a rare case of idiopathic and spontaneous perforation of gallbladder in a 77 years old lady.
August 2011: Indian Journal of Surgery
Ac Ugwu, Cc Ohagwu, U Ezeokeke
OBJECTIVES: To assess the effect of periodic and moderate alcohol intake on gallbladder motility. METHODS: The ultrasonographic ellipsoid method was used in 21 healthy male subjects: 12 non-alcohol and 9 alcohol drinkers. The stimulus for gallbladder contraction was 165 ml of half cream milk. Gallbladder dynamics were studied for 20 minutes following the ingestion of the milk. The mean percentage change in gallbladder volume after 10 and 20 minutes gave indications of gallbladder motility...
September 1, 2008: Libyan Journal of Medicine
Halima Abahssain, Pauline Afchain, Nawfal Melas, Nabil Ismaili, Rabia Rahali, Hind M Rabti, Hassan Errihani
Gallbladder cancer is an aggressive tumor. Its incidence varies according to geography. Surgery is the standard treatment for localized stage but there is no standard treatment in metastatic or locally advanced disease. Because of the rarity of bile tract cancer (BTC) and gallblader carcinoma (GBC), most studies have grouped all BTC and GBC together, and there are very few GBC-specific studies. In addition, there is a paucity of randomized controlled studies in this disease with small numbers of patients and inclusion bias...
December 2010: La Presse Médicale
M Soufi, S Benamer, B Chad
Gallblader tuberculosis is uncommon and may mimic a neoplasia. We report a 55-year-old man who presented with fever and abdominal pain compatible with cholecystitis. Abdominal ultrasound and computed tomographic scan showed a tumoral aspect of the bottom of the gallbladder and invasion of adjacent liver. Diagnosis of pseudo-tumoral gallbladder tuberculosis was obtained with the histologic examination of surgical sampling. Disease course was uneventful with appropriate antituberculous therapy.
March 2011: La Revue de Médecine Interne
Wafa Allam, Basma Elkhanoussi, Khaoula Alaoui, Issam Lalya, Hassan Errihani
BACKGROUND: Excavated pulmonary metastasis are rare. We present two cases of excavated pulmonary nodules proved to be metastases from osteosarcoma and gallblader lymphoma. CASE PRESENTATION: The first one is 39-year-old man in whom cholecystectomy made the diagnosis of primary non-Hodgkin's lymphoma of the gallbladder. He presented in chest CT scan excavated nodules that had been biopsied and confirmed the diagnosis of non hodgkin lymphoma. He underwent 8 courses of chemotherapy CHOP 21 with complete remission...
2010: BMC Medical Imaging
Adorata Elena Coman, Elena Popa, Cecilia Grigore, Maria Maidaniuc, Rodica Petrovanu
UNLABELLED: Functional diseases of digestive tract are an ubiquitary problem of diagnosis and treatment for ambulatory care services. Its evolution is chronicle but there are no organic lesions for the beginning. Nevertheless, it impairs quality of life and creates many days of incapacity of work. MATERIAL AND METHOD: We studied 1118 cases with digestive malfunctions, selected from the patients consulted on Ambulatory Care Unit--Internal Medicine, 2007-2008. RESULTS: Basal clinical and laboratory explorations classified the type of digestive malfunctions according to international criteria...
January 2010: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
H Hurtado-Andrade, S Razo-García, D Díaz-Villanueva, F Rodríguez-Villanueva, A Carrera-Muiños, A Zárate-Osorno
Eosinophilic cholecystitis is a rare disease with clinical presentation similar to acute cholecystitis. The diagnosis is based on typical symptoms of acute cholecystitis with presence of more than 90% eosinophilic infiltration within the gallbladder wall. The case of a 27-year-old woman with periodic epigastric pain during ten years is presented. Routine and Boyden s technique biliary ultrasounds were normal. Hepatobiliary scintigraphy showed delayed gallbladder empty and patient underwent endoscopic sphinterotomy...
2010: Revista de Gastroenterología de México
Konstantinos Vasiliadis, Guido Engelmann, Peter Sauer, Jürgen Weitz, Jan Schmidt
Portal hypertension, especially when it is caused by extrahepatic portal vein thrombosis, is commonly followed by the development of an abnormal periportal and pericholedochal variceal network, which form a portal cavernoma. This may exert extrinsic pressure on the adjacent biliary ducts and gallblader, causing morphologic abnormalities, termed portal biliopathy, which is usually leading to asymptomatic cholestasis, while less frequently it can be associated with obstructive jaundice, gallstone formation, and cholangitis...
2009: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
Piero Portincasa, Annamaria Maggipinto, Massimo Berardino, Leonilde Bonfrate, Simona Costin, Orlando Todarello, Giuseppe Palasciano, David Q-H Wang, Dan L Dumitrascu
Imprecise characterization of complaints of the upper and lower gastrointestinal (GI) tract puts patients at risks of either a delayed diagnosis or misdiagnosis and contributes to an increase in the overall direct and indirect costs of the health system. The current scenario in the case of functional GI diseases originates from at least two conditions: frequency of diseases and bothersome symptoms with an impact on the quality of life (QoL). To make a correct diagnosis is therefore almost mandatory. Once a positive diagnosis of functional involvement of the GI tract is made, the correct diagnosis assessment includes the study of symptom characteristics, entity and perception, detection of abnormal patterns of GI motor-function (gallblader and gastric emptying, oro-cecal and colonic transit, etc...
June 2009: Journal of Gastrointestinal and Liver Diseases: JGLD
Sharon A Center
Most disorders of the biliary system are associated with increased activity of parenchymal transaminases (alanine aminotransferase, aspartate aminotransferase) and cholestatic enzymes (alkaline phosphatase and gamma glutamyl transferase) with or without hyperbilirubinemia or jaundice. While parenchymal liver disease is most common in the dog, inflammatory disorders involving the small- and medium-sized bile ducts and zone 1 (periportal) hepatocytes predominate in the cat. Historically, the incidence of disorders restricted to the gallbladder is low in both species; however, with routine diagnostic use of abdominal ultrasonography, the incidence of gallbladder mucoceles and cholelithiasis has increased...
May 2009: Veterinary Clinics of North America. Small Animal Practice
Yuji Morine, Mitsuo Shimada, Satoru Imura, Masahiko Fujii, Tetsuya Ikemoto, Yuji Soejima, Toru Utsunomiya, Nobuhiro Kurita, Hidenori Miyake, Seiki Tashiro
BACKGROUND/AIMS: The postoperative survival rate is dependent on the invasive depth of the gallbladder carcinoma. When this carcinoma has invaded beyond the subserosal layer, lymph node and adjacent organ involvement is found in a large number of patients, and long-term survival cannot be achieved. The aim of this study is to establish a surgical strategy for advanced gallbladder carcinoma according to the invasive depth. METHODOLOGY: A retrospective analysis was conducted of 44 patients with the gallblader carcinoma...
November 2008: Hepato-gastroenterology
M Uribe, J M Sánchez, J M Tielve, B Dávila, L Gurza, F Bosques, W Kettenhofen, C Sánchez, G Castorena
Fifty seven patients were selected from 620 cases with gallstones to be treated with an electromagnetic shock wave generator (Lithostar Plus). The machine has an overhead module with an electromagnetic generator able to produce 150-150 bar of pressure in the center of the focal zone (2 x 8 cms.) An in line ultrasound probe permits in vivo view of stone localization and fragmentations. The wide aperture of the device permits to treat patients with little pain in ambulatory basis. The mean age of the patients was 50 +/- 14 years, 57 were female and 20 were male...
July 1990: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
D Bilanović, I Boricić, D Zdravković, T Randjelović, N Stanisavljević, B Toković
Granular cell tumors (GCT) are rare benign tumors. Less than 1% of GCTs involve the extrahepatic biliary tree. Most researches favour a Schwann cell origin. Patient, caucasion, female, 31-year-old presented with 4 month history of painless jaundice and pruritus. US and CT revealed dilatation of intrahepatic biliary tree and surgery was performed. Firm tumor mass was found above the conjunction of cystic duct and common hepatic duct (CHD) that caused obstruction and gallblader empyema. The patient underwent radical surgical procedure because Klatskin tumor was clinically suspected...
2008: Acta Chirurgica Iugoslavica
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