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Gangrenous cholecystitis

Deepa Magge, Jennifer Steve, Stephanie Novak, Adam Slivka, Mellissa Hogg, Amer Zureikat, Herbert J Zeh
Laparoscopic cholecystectomy is the standard of care for cholelithiasis as well as cholecystitis. However, in the setting of Mirizzi syndrome or gangrenous cholecystitis where the critical view cannot be ascertained, subtotal cholecystectomy may be necessary. Using the robot-assisted approach, difficult cholecystectomies can be performed upfront without need for partial cholecystectomy. Even in the setting of Mirizzi syndrome where severe scarring and fibrosis are evident, definitive cholecystectomy and takedown of the cholechystocholedochal fistula can be performed in a safe and feasible fashion following successful endoscopic common bile duct stent placement...
November 28, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Petra Maria Terho, Ari Kalevi Leppäniemi, Panu Juhani Mentula
BACKGROUND: The purpose of the study was to identify risk factors for conversion of laparoscopic cholecystectomy and risk factors for postoperative complications in acute calculous cholecystitis. The most common complications arising from cholecystectomy were also to be identified. METHODS: A total of 499 consecutive patients, who had undergone emergent cholecystectomy with diagnosis of cholecystitis in Meilahti Hospital in 2013-2014, were identified from the hospital database...
2016: World Journal of Emergency Surgery: WJES
Binit Sureka
No abstract text is available yet for this article.
November 8, 2016: AJR. American Journal of Roentgenology
George Younan, Max Schumm, Fadwa Ali, Kathleen K Christians
Introduction. Gallbladder volvulus is a rare, potentially fatal condition unless diagnosed and treated early. Choledochal cysts are rare congenital malformations of the biliary tree predisposing to different pathologies and posing the risk of degradation into cholangiocarcinoma and gallbladder cancer. Dealing with both diseases at once has not been published yet in the literature. Presentation of Case. We report a case of gallbladder volvulus in an elderly female who happened to have a concomitant type I choledochal cyst...
2016: Case Reports in Surgery
Hiromitsu Maehira, Aya Itoh, Masayasu Kawasaki, Masao Ogawa, Atsuo Imagawa, Naoto Mizumura, Satoshi Okumura, Masao Kameyama
OBJECTIVE: To determine if the increase in transient focal enhancement of the liver adjacent to the gallbladder seen on dynamic computed tomography (CT) is greater in gangrenous cholecystitis than in nongangrenous cholecystitis by determining the CT attenuation value. METHODS: We retrospectively reviewed the medical records of 57 patients who underwent emergency cholecystectomy for acute cholecystitis and preoperative dynamic CT scans between March 2011 and April 2016...
August 16, 2016: American Journal of Emergency Medicine
Wei-Chou Chang, Yuxin Sun, En-Haw Wu, So Yeon Kim, Z Jane Wang, Guo-Shu Huang, Benjamin M Yeh
OBJECTIVE: The objective of our study was to evaluate the diagnostic accuracy of CT in differentiating gangrenous cholecystitis from uncomplicated cholecystitis and healthy gallbladders. MATERIALS AND METHODS: We performed a retrospective review of 308 patients with histologically proven gangrenous cholecystitis who underwent preoperative CT 1 month before gallbladder removal over a 4-year period. Two readers who were blinded to the histologic diagnosis independently recorded CT features of and overall likelihood of gangrenous cholecystitis on a 5-point scale (1, definitely absent; 5, definitely present)...
August 2016: AJR. American Journal of Roentgenology
Ryousuke Kawai, Jiro Hata, Noriaki Manabe, Hiroshi Imamura, Ai Iida, Rui Nakatou, Nobuko Koyama, Toshihiro Hirai, Yoshito Sadahira
PURPOSE: This prospective study investigated the ability of contrast-enhanced ultrasonography (CEUS) with Sonazoid to diagnose gangrenous cholecystitis and determined the inter-observer agreement. METHODS: From September 2012 to August 2014, 27 patients with acute cholecystitis underwent preoperative CEUS (registration number 1277). After Sonazoid injection, harmonic imaging of the gallbladder wall was performed, and the findings were recorded using movie clips...
April 2016: Journal of Medical Ultrasonics
V P Sazhin, I V Sazhin, I A Podyablonskaya, D I Karlov, A V Nuzhdikhin, S A Ayvazyan
AIM: To define causes of difficult situations in various forms of acute cholecystitis depending on terms of disease and clinico-morphological changes in gall bladder area and to justify differentiated application of laparoscopic surgery for acute cholecystitis. MATERIAL AND METHODS: It was reviewed 1132 medical records of patients with acute cholecystitis. It is found that morphological changes in gall bladder and surrounding tissues depend on duration of follow-up of patients with acute cholecystitis and type of inflammation...
2016: Khirurgiia
A Kumar, J Shah, P Vaidya
INTRODUCTION: Primary omental torsion is a rare cause of acute abdomen in adults and presents with variable signs and symptoms. Establishing a preoperative diagnosis may be difficult in the emergency setting. It is rarely diagnosed preoperatively as it mimics common surgical emergencies such as acute appendicitis, appendicular perforation, acute cholecystitis and perforated peptic ulcers and can lead to the clinical deterioration of patient if missed PRESENTATION OF CASE: A 47 years old male was taken to the operating room with a diagnosis of appendicular perforation peritonitis and during surgery was found to have a primary omental gangrene with pyoperitoneum, for which omentectomy and peritoneal lavage was performed...
2016: International Journal of Surgery Case Reports
Kee-Hwan Kim, Say-June Kim, Sang Chul Lee, Sang Kuon Lee
BACKGROUND: Because acute cholecystitis has a different prognosis according to the degree of inflammation, early detection and prompt operation of severe cholecystitis are critical to the success of treatment. However, computed tomography (CT) has a low discriminative value for differentiating between simple and severe cholecystitis. Therefore, to enhance the diagnostic accuracy of CT scan, the imaging studies should be supplemented by preoperative clinical variables. METHODS: Patients undergoing laparoscopic cholecystectomy for simple and severe cholecystitis between 2007 and 2014 were compared...
February 24, 2016: Asian Journal of Surgery
Nam Hyun Baek, GuangYi Li, Ji Hun Kim, Jae Chul Hwang, Jin Hong Kim, Byung Moo Yoo, Wook Hwan Kim
BACKGROUND/AIMS: Robotic cholecystectomy has emerged as an established technique for the treatment of gallbladder disease. We report our experience and surgical results of RC for patients with gallbladder polyps or minimal symptomatic gallstones, and with inflamed gallbladder diseases including acute cholecystitis, empyematous cholecystitis, and gangrenous cholecystitis. METHODOLOGY: 925 patients with gallbladder disease were selected to undergo RC at our institution...
May 2015: Hepato-gastroenterology
Haibo Yu, Haichuan Chen, Xiaodan Jin
This is the first case report of Gangrenous cholecystitis due to the insertion of endoscopic nasobiliary drainage (ENBD) tube into the cystic duct by mistake,The reason why it happened may be related to Inflammation and hypoimmunity.
March 2016: Revista Española de Enfermedades Digestivas
Katherine I Habenicht, Corey J Wright, Chris T Hunter, Dionesia D Adraktas, Vivan M Hathuc, Meghann L Kaiser, Amy N Hildreth, Preston R Miller
No abstract text is available yet for this article.
January 2016: American Surgeon
Mahdi Bouassida, Bassem Mroua, Slim Zribi, Obeid Belghith, Mohamed M Mighri, Hassen Touinsi
BACKGROUND: Gangrenous cholecystitis (GC) is a rare and severe condition requiring immediate cholecystectomy. The aim of this study was to compare outcomes of laparoscopic cholecystectomy with open cholecystectomy in patients with GC. MATERIALS AND METHODS: The records of 278 patients with GC who underwent cholecystectomy, for acute cholecystitis were compared with those of 531 patients with nongangrenous cholecystitis. In patients with GC, the outcomes of laparoscopic cholecystectomy were also compared with the outcomes of open cholecystectomy...
February 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Tomás Ripollés, María Jesús Martínez-Pérez, Gregorio Martin, José Vizuete, Rosario Martínez-García, Jose Diez, Encarna Martí
OBJECTIVE: To prospectively determine the usefulness of contrast-enhanced ultrasound (CEUS) in the diagnostic assessment of acute gangrenous cholecystitis, using histopathology as the reference method. MATERIAL & METHODS: The local institutional review board approved the study protocol, and all patients at enrollment provided a written informed consent. From December 2011 to July 2014, all patients with a clinical-sonographic diagnosis of acute cholecystitis underwent a CEUS examination...
January 2016: European Journal of Radiology
N Lakananurak
No abstract text is available yet for this article.
May 2016: Journal of Gastroenterology and Hepatology
Darren Yap, Ashraf Rasheed, Majid Rashid
INTRODUCTION: Symptomatic biliary disease in children and young adults requiring surgical intervention are uncommon. However even rarer is the occurrence of a spontaneous gallbladder necrosis in a child. We report a case of spontaneous necrosis in a child with no apparent causative factors. CASE: Fit and well 16 year-old boy presented with acute generalized lower abdominal pain. Examination revealed mild epigastric pain with rebound tenderness and guarding of the right iliac fossa...
2015: International Journal of Surgery Case Reports
Daniel Dante Yeh, Catrina Cropano, Peter Fagenholz, David R King, Yuchiao Chang, Eric N Klein, Marc DeMoya, Haytham Kaafarani, George Velmahos
BACKGROUND: Gangrenous cholecystitis (GC) is difficult to diagnose preoperatively in the patient with suspected acute cholecystitis. We sought to characterize preoperative risk factors and post-operative complications. METHODS: Pathology reports of all patients undergoing cholecystectomy for suspected acute cholecystitis from June 2010 to January 2014 and admitted through the emergency department were examined. Patients with GC were compared with those with acute/chronic cholecystitis (AC/CC)...
November 2015: Journal of Trauma and Acute Care Surgery
Yasumichi Yagi, Shozo Sasaki, Itsuro Terada, Akemi Yoshikawa, Wataru Fukushima, Hirohisa Kitagawa, Takashi Fujimura, Ryohei Izumi, Katsuhiko Saito
BACKGROUND: Emphysematous cholecystitis is a severe variant of acute cholecystitis caused by anaerobic bacteria. Although intraperitoneal air as a complication has been described in association with emphysematous cholecystitis, pneumoretroperitoneum arising from emphysematous cholecystitis is extremely rare. Herein, we describe a rare case of pneumoretroperitoneum arising from emphysematous cholecystitis that was successfully treated with emergency surgery. CASE PRESENTATION: An 84-year-old male was transported to the Emergency Department of our hospital for acute abdomen...
2015: BMC Gastroenterology
Asli Tanrivermis Sayit, Hediye Pinar Gunbey
Emphysematous cholecystitis (EC) is a life threatening condition characterized by gangrene of the gallbladder due to an infection with gas-forming organisms. It is more common in elderly men and has been associated with systemic disease, especially diabetes and vascular disease. Computed tomography is the most important and accurate imaging modality for the diagnosis of EC. EC should be thought of when the radiographic presence of gas is detected within the gallbladder wall or lumen. Emergency surgical intervention and antibiotic treatment for the gas-forming organism should be initiated after the diagnosis of the EC...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
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