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Gallblader disease

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
Rafał Drozda, Krzysztof Grzegorczyk, Maciej Rutkowski, Jacek Smigielski, Krzysztof Kołomecki
Gallbladder and biliary tract cancer is a serious clinical problem. In-spite of wide range of new diagnostic and therapeutic methods, the significant improvement of treatment results, has not been noticed so far. The research about prevention methods, seems to be important, among the ways of improvement of the diagnosis and therapy outcomes of these diseases. It is related for example to study about one of the cause of biliary tract carcinogenesis--the imbalance between production of reactive oxygen species (ROS) and their inactivation by the antioxidative barrier...
May 2007: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
E Bulbuloglu, B Kantarceken, M Yuksel, H Ciralik, T Sahinkanat, I T Kale
Polyarteritis nodosa with gallbladder involvement is a rare condition. Autosomal dominant polycystic kidney disease is also a rare condition and rarely complicated. We describe an extremely rare case of Polyarteritis nodosa, involving gallblader and ureter without obstruction, in a patient with autosomal dominant polycystic kidney disease. To the best of the authors' knowledge, such a case has not been reported previously.
January 2006: West Indian Medical Journal
No abstract text is available yet for this article.
March 1962: Khirurgiia
No abstract text is available yet for this article.
1953: Boletín
N Kr'stev
Mayor complications of 1000 percutaneous liver biopsies, performed with Menghini's needle for 20 years period (1981-2000) are reported. Five severe complications (0.5%) were observed. Operation was unavoidable in three patients. Four of the major complications were caused by bleeding. Two patients had hematological diseases, and one--chronic kidney failure waiting for kidney transplantation. One patient collapsed immediately after the liver biopsy with bile aspiration. That forced urgent operation in one hour...
2000: Khirurgiia
A Bedirli, O Sakrak, E M Sözüer, M Kerek, I Güler
BACKGROUND/AIMS: Gangrenous cholecystitis, empyema, gallbladder perforation, and biliary peritonitis are severe complications of acute cholecystitis associated with increased morbidity and mortality. This study aimed to evaluate perioperative factors associated with complications of acute cholecystitis. METHODOLOGY: Between January 1993 and October 2000, we performed cholecystectomy in 368 patients with acute cholecystitis. All perioperative data were collected on age, sex, medical history, symptoms, laboratory tests, ultrasound, operative and microbiological findings, morbidity and mortality...
September 2001: Hepato-gastroenterology
J Figueras, J Busquets, E Ramos, J Torras, L Ibáñez, L Llado, A Rafecas, J Fabregat, T Serano, A Dalmau, C Valls, E Jaurrieta
BACKGROUND: The aim of this prospective study was to analyze the risk of liver resection in unselected patients. PATIENTS AND METHOD: From 1990 to 2000, 437 consecutive hepatectomies were performed in our center. Most frequent indications were liver metastases (n = 288), hepatocellular carcinoma (n = 62), Klatskin tumor (n = 17), gallblader carcinoma (n = 139) and other malignant tumors (n = 6). The indication was a benign tumor in 51 patients. In 357 cases the liver parenchyma was normal, 51 patients had an underlying cirrhosis and 17 patients had an obstructive jaundice...
June 16, 2001: Medicina Clínica
F de Alba-Quintanilla, F J Posadas-Robledo
The purpose was to explore by ultrasound the gallbladder in the pregnant woman. A prospective longitudinal study of 292 pregnant woman, was done. Gallstones were detected in 41 patients (14.04%), in other 2 patients (0.68%) sludge in gallbladder. Cholesterolosis was found in 2 patients more (0.68%), and polyposis in another 2 patients (0.68%). In comparing first pregnancy and subsequent as to frequency of gallstones, there were no statistical difference in both groups. P > 0.5. Test X2. A high proportion of pathology in gallblader was where gallstone its predominant which justifies its routinely exploration in al women that are examined for during pregnancy in any moment of gestation...
February 1997: Ginecología y Obstetricia de México
H Shinohara, Y Niio, S Hasebe, S Matsuoka, M Obuchi, T S Higashi, M Yamada, T Takagi, K Takizawa, M Honda, Y Kuniyasu
The use of numerical integration method (N. INT) was evaluated in determining parameters by two-compartment model analysis from liver scintigraphy. Among the 15 subjects, 14 had liver cirrhosis or chronic hepatitis, and one was normal. When using N.INT, the sum of two exponential functions on heart regression curve following intravenous injection of 99mTc-galactosyl human serum albumin (99mTc-GSA) was promptly calculated. The parameters obtained from N.INT, including transfer rate of 99mTc-GSA from extrahepatic blood to liver (k1), dissociation rate from liver to extrahepatic blood (k2), and excretion rate from liver to gallblader (k3), were significantly correlated with those obtained by the nonlinear least square method (NLS)...
February 1996: Nihon Igaku Hōshasen Gakkai Zasshi. Nippon Acta Radiologica
R A Lanosa, O Mazzini, C Pietrángelo, E J Celia, J M Monserrat
Eight patients with Dubin-Johnson's syndrome have been reported. It appoints the greatest casuistry about the theme in our country. The coincidence covers all the aspects of the disease except by the fact that we emphasize, as a matter of interest, that we were able to visualize the gallblader and the biliary tract through oral cholecystography visualize the gallblader and the biliary tract through oral cholecystography or through intravenous cholangiography, in all the patients who have been studied. It doesn't agree with the class descriptions in which these exams have negative results...
1980: Acta Gastroenterologica Latinoamericana
J C Thompson, G M Fried, W D Ogden, C J Fagan, K Inoue, I Wiener, L C Watson
The role of endogenously released cholecystokinin (CCK) in mediating gallblader (GB) contraction was evaluated in 12 normal volunteers and 24 patients with gallstones (11 additional gallstone patients were excluded because of failure of adequate ultrasonographic visualization). CCK concentrations before and after oral administration of fat (Lipomul((R))) were measured by a specific radioimmunoassay. CCK release was correlated with changes in GB volume determined simultaneously by ultrasonography. On the basis of gallbladder contraction and operative findings, gallstone patients were divided into "contractors" (14), "noncontractors" (6), and "hydrops" (4)...
May 1982: Annals of Surgery
N S Kennedy, F C Campbell, P T Cullen, D G Sutton, B W Millar, A Cuschieri
The relationship between gallbladder function and duodenogastric reflux of bile has been investigated in the fasting phase by 99Tcm-EHIDA biliary scintigraphy in 370 patients with abdominal pain. This isotope is cleared from the blood-pool by hepatocellular function and is excreted into the biliary tract. Obstruction of the common bile duct was found in 79 patients, leaving 291 who were evaluable for duodenogastric bile reflux. Gallblader function was present in 169 and absent in 122 patients. Duodenogastric reflux of bile was observed in 82 patients, 10 of whom had had previous gastric surgery...
March 1989: Nuclear Medicine Communications
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