7,921 results match your criteria Cholelithiasis Imaging


The dilemma of the duplicated cystic duct: a case report.

J Surg Case Rep 2020 Jun 19;2020(6):rjaa161. Epub 2020 Jun 19.

Department of Surgery, St Michael's Hospital, Dublin, Ireland.

We present a rare case of a duplicated cystic duct encountered during an elective laparoscopic cholecystectomy in a patient with biliary colic. Prompt recognition of an intraoperative bile leak followed by thorough examination and recognition of the source allowed for timely and appropriate management of the affected patient with a satisfactory post-operative outcome. Our case is unique by the lack of availability of intraoperative cholangiogram at the time of surgery, which posed a significant diagnostic and therapeutic challenge, and by how aberrant anatomy was confirmed intraoperatively by reviewing prior cardiac magnetic resonance imaging. Read More

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http://dx.doi.org/10.1093/jscr/rjaa161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304925PMC

MEDICAL TREATMENT LANDSCAPE FOR ACTIVE ACROMEGALY IN A PITUITARY CENTER IN ISRAEL.

Endocr Pract 2020 Jun 23. Epub 2020 Jun 23.

From: Endocrine Institute, Rabin Medical Center - Beilinson Hospital, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

: To evaluate current real-life experience with medical treatment for active acromegaly in a large cohort. Data on demographic parameters, blood tests, imaging studies, and treatments were extracted from the medical records. : The cohort included 87 patients (43 male) with active acromegaly. Read More

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http://dx.doi.org/10.4158/EP-2020-0171DOI Listing

Cholecystitis on gallbladder duplication: A case report and literature review.

Int J Surg Case Rep 2020 Jun 12;72:406-410. Epub 2020 Jun 12.

Department of Radiology, Burns and Trauma Center, Street 1er-Mai 2013, Ben Arous, Tunisia.

Introduction: Gallbladder Duplication is an uncommon anomaly of the biliary system that rarely seen during the routine ultrasound examination. It is a challenge that can be encountered by surgeons and associated with an increased risk of complications after cholecystectomy.

Case Presentation: We report the case of a 58-year-old woman, presented to the emergency department with persistent right upper quadrant pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306521PMC

[Abdominal imaging in cystic fibrosis].

Radiologe 2020 Jun 3. Epub 2020 Jun 3.

Arbeitsbereich Kinderradiologie, Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, Hannover, Deutschland.

Clinical Issue: Abdominal complications are often the first indications for cystic fibrosis (CF), a multiorgan disease. A broad range of abdominal manifestations are associated with the disease, including gastrointestinal abnormalities (such as meconium ileus in newborns and distal intestinal obstruction syndrome in older children) and hepatobiliary alterations (e.g. Read More

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http://dx.doi.org/10.1007/s00117-020-00703-4DOI Listing

Review on gall bladder myeloid sarcoma: a great masquerader.

Chin Clin Oncol 2020 Jun 20;9(2):37. Epub 2020 May 20.

Hemato-Oncology Division, Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA.

Pain in abdomen has wide differentials and narrowing down the clinical possibilities depends on type of pain, location, characterization which is usually assisted by imaging studies. Cholecystitis and cholelithiasis are amongst the common causes of acute abdomen. This study reviews the literature for the clinical characteristics, differential diagnosis, treatment and prognosis of reported cases of gallbladder myeloid sarcoma (GB-MS) who presented with abdominal symptoms. Read More

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http://dx.doi.org/10.21037/cco-19-250DOI Listing

Choledochal cyst- unusual presentation in the adult phase: Case report.

Int J Surg Case Rep 2020 2;70:33-36. Epub 2020 Apr 2.

Digestive System Surgery Service at Getúlio Vargas Teaching Hospital (HUGV), Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil. Electronic address:

Introduction: Bile duct cysts are congenital malformations characterized by bile duct dilatation with intra and/or extrahepatic localization. About 80% of cases are diagnosed in childhood, so their presentation in adults is rare and repeatedly associated with complications.

Presentation Of Case: A 38-year-old female patient complained of severe abdominal pain for one month, with no associated cholestatic signs. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210471PMC

Variants in ABCB4 (MDR3) across the spectrum of cholestatic liver diseases in adults.

J Hepatol 2020 May 3. Epub 2020 May 3.

Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria. Electronic address:

The ATP binding cassette subfamily B member 4 (ABCB4) gene on chromosome 7 encodes the ABCB4 protein (alias multi drug resistance 3 protein [MDR3]), a P-glycoprotein in the canalicular membrane of the hepatocytes that acts as a translocator of phospholipids into bile. Several variants in ABCB4 have been identified so far that lead to ABCB4 deficiency accounting for a disease spectrum ranging from progressive familial cholestasis type 3 (PFIC-3) to less severe forms presenting as low phospholipid associated cholelithiasis (LPAC), intrahepatic cholestasis of pregnancy (ICP) or drug-induced liver injury (DILI). Furthermore, whole genome sequencing identified ABCB4 variants to be associated with an increased incidence of gallstone disease, gallbladder and cholangiocarcinoma, liver cirrhosis or elevated liver function tests. Read More

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http://dx.doi.org/10.1016/j.jhep.2020.04.036DOI Listing

Two cases of agenesis of the dorsal pancreas and a review of the literature.

BMC Gastroenterol 2020 Apr 6;20(1):94. Epub 2020 Apr 6.

Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Beijing, 100053, China.

Background: Agenesis of the dorsal pancreas (ADP) is a very rare disease with no specific symptoms, and the pathogenesis is not clear. Some patients will be accompanied by other diseases, such as pancreatic tumor or pancreatitis. But most cases are very atypical and difficult to distinguish. Read More

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http://dx.doi.org/10.1186/s12876-020-01245-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137410PMC

Radiation exposure during endoscopic retrograde cholangiopancreatography according to clinical determinants.

Medicine (Baltimore) 2020 Mar;99(13):e19498

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.

This study aimed to analyze the dose of radiation to which the physician is exposed during endoscopic retrograde cholangiopancreatography (ERCP) and to identify predictive factors of radiation exposure during the procedure. Furthermore, we evaluated the patient characteristics and procedural factors associated with prolonged fluoroscopy time (FT).A cross-sectional retrospective analysis of 780 ERCPs performed at a tertiary academic hospital over a 2-year period was conducted. Read More

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http://dx.doi.org/10.1097/MD.0000000000019498DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220418PMC

An Important Gallbladder Pathology Mimicking Gallbladder Carcinoma: Xanthogranulomatous Cholecystitis: A Single Tertiary Center Experience.

Surg Laparosc Endosc Percutan Tech 2020 Jun;30(3):285-289

Ministry of Health, University of Health Science, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.

Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon, focal, or diffuse destructive inflammatory disease of the gallbladder mimicking or being together with the gallbladder carcinoma. This study aimed to evaluate the diagnosis, treatment, and outcomes of patients with XGC as a single tertiary center experience in the light of literature.

Materials And Methods: Data about 34 patients with XGC identified after evaluating 2212 cholecystectomy specimens between January 2013 and December 2018 in a single tertiary center were documented to determine demographics (sex, age), clinical symptoms and findings, biochemical and imaging clues and operative findings, duration of hospitalization, postoperative complications, and histopathologic results. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000781DOI Listing

A Comparison of the Relative Safety and Efficacy of Laparoscopic Choledochotomy with Primary Closure and Endoscopic Treatment for Bile Duct Stones in Patients with Cholelithiasis.

J Laparoendosc Adv Surg Tech A 2020 Feb 26. Epub 2020 Feb 26.

Department of General Surgery, The Second Affiliated Hospital of Shanxi Medical University, Taiyuan, China.

To date, several clinical trials have demonstated that both one-stage laparoscopic cholecystectomy (LC) combined with common bile duct exploration (LC+BDE) with primary closure and one-stage LC combined with endoscopic stone extraction (LC+ESE) are the two primary clinical approaches to treat cholelithiasis. However, no studies to date have directly compared the LC+BDE with primary closure and one-stage LC+ESE procedures. We, therefore, conducted a retrospective analysis of patients with cholelithiasis who had been treated through LC+ESE or LC+BDE to compare these two approaches for the treatment of cholecystitis and common bile duct stones (CCBDS). Read More

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http://dx.doi.org/10.1089/lap.2019.0775DOI Listing
February 2020

Osteoid Osteoma Masquerading as Cholelithiasis: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0090

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

Case: We present a case report of an 18-year-old woman who presented to a general surgeon with a several month history of intermittent right upper quadrant pain, strongly suggestive of symptomatic cholelithiasis and underwent a laparoscopic cholecystectomy. She was eventually found to have an osteoid osteoma (OO) of the right eighth rib. She was treated with radiofrequency ablation with complete resolution of symptoms 1 month after treatment. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00090DOI Listing
February 2020

Assessment of Duodenal Diverticula: Computed Tomography Findings.

Curr Med Imaging Rev 2019;15(10):948-955

Department of Radiology, School of Medicine, Trakya University, Edirne, Turkey.

Aims: To demonstrate the prevalence, accompanying pathologies, imaging and follow up findings of Duodenal Diverticula (DD) with Multidetector Computed Tomography (MDCT).

Materials And Methods: Consecutive 2910 abdominal MDCTs were retrospectively reviewed on axial, coronal and sagittal planes. DD were evaluated for prevalence, location, number, size, contents, diverticular neck, accompanying pancreaticobiliary pathologies, jejunal and colonic diverticula, respectively. Read More

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http://dx.doi.org/10.2174/1573405614666180904123526DOI Listing
January 2019

Computed Tomography Measurements of Hepatic Steatosis in Cholelitihiasis and Cholecystectomy Cases Using Unenhanced Images.

J Med Imaging Radiat Sci 2020 Mar 30;51(1):137-144. Epub 2020 Jan 30.

Department of General Surgery, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.

Introduction: Computed tomography (CT) measurements of hepatic steatosis can be performed using unenhanced CT images. The purpose of this study was to assess the occurrence of hepatic steatosis using unenhanced CT images for patients undergoing cholecystectomy or having cholelithiasis.

Methods: A total of 143 unenhanced CT cases from a single centre were retrospectively examined. Read More

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http://dx.doi.org/10.1016/j.jmir.2019.12.003DOI Listing

Transabdominal Ultrasound: A Potentially Accurate And Useful Tool For Detection Of Choledocholithiasis.

J Ayub Med Coll Abbottabad 2019 Oct-Dec;31(4):572-575

Department of Radiology, Pakistan atomic Energy Cancer Hospital NORI, Islamabad, Pakistan.

Background: Choledocholithiasis denotes to the presence of gallstones within the common bile duct. In patients with Gall stones, the precise incidence and prevalence of choledocholithiasis are not known, but it has been estimated that 5-20 percent of patients have choledocholithiasis at the time of cholecystectomy, with the incidence increasing with age. The transabdominal ultrasound examination (US) is the most commonly used modality for symptoms attributable to gallstone disease. Read More

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A pictorial review of gall stones and its associated complications.

Clin Imaging 2020 Apr 28;60(2):228-236. Epub 2019 Nov 28.

Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, 167 Grant St, Bridgeport, CT 06610, USA.

Gallstone disease is the term commonly used to refer to gallstones that cause symptoms. There is a myriad of complications that can arise from gallstones: acute cholecystitis, xanthogranulomatous cholecystitis, emphysematous cholecystitis, gallbladder wall perforations, pericholecystic abscesses, Mirizzi syndrome, cholecystoenteric fistulas, choledocholithiasis, gallstone pancreatitis, porcelain gallbladder, gallbladder malignancies, and many more. The aim of this pictorial review is to revisit how multimodality imaging can help with the diagnosis of gallstone disease. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.11.015DOI Listing
April 2020
0.596 Impact Factor

Surgeon attitudes toward point of care ultrasound for biliary disease: a nationwide Canadian survey

Can J Surg 2020 Jan 9;63(1):E9-E12. Epub 2020 Jan 9.

From the Division of Emergency Medicine, Western University, London, Ont. (Thompson, Myslik); the Department of Surgery, Western University, London, Ont. (Koichopolos, Leeper); the Division of Critical Care Medicine, Western University, London, Ont. (Leeper); and the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Vandelinde).

Summary: Multiple studies confirm that point of care ultrasound (PoCUS) has a high sensitivity and specificity for cholelithiasis and cholecystitis. However, there is poor perceived reliability of biliary PoCUS by surgeons. This survey was performed to assess surgeons’ opinions on using PoCUS in gallstone disease and barriers that exist for its institution. Read More

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http://dx.doi.org/10.1503.cjs/010218DOI Listing
January 2020

Unidentified ruptured splenic artery pseudoaneurysm following endoscopic cystogastrostomy.

BMJ Case Rep 2019 Dec 29;12(12). Epub 2019 Dec 29.

Pulmonary and Critical Care Medicine, Albany Medical Center Hospital, Albany, New York, USA.

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http://dx.doi.org/10.1136/bcr-2019-232704DOI Listing
December 2019

Assessment of the Hallmarks of Wilson Disease in CT Scan Imaging.

J Med Imaging Radiat Sci 2020 Mar 26;51(1):145-153. Epub 2019 Dec 26.

Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Nuclear Medicine and Molecular Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Introduction: Owing to nonspecific clinical symptoms, Wilson disease (WD) diagnosis is often missed or delayed; hence, many patients reach end-stage liver disease. When cirrhosis takes place, it is difficult to distinguish between WD and other causes of cirrhosis by imaging alone. This study outlines abdominal computed tomography (CT) imaging findings that occur more frequently in patients with WD cirrhosis. Read More

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http://dx.doi.org/10.1016/j.jmir.2019.11.002DOI Listing

[Cerebrotendinous xanthomatosis. Report of one case].

Rev Med Chil 2019 May;147(5):658-662

Departamento de Ciencias Neurológicas Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Cerebrotendinous xanthomatosis (CTX) is an uncommon autosomal recessive disease caused by deficiency of 27-sterol-hydroxylase that results in an accumulation of cholestanol in the central nervous system, eyes, tendons, and blood vessels. We report a 22-year-old woman with a history of cataract surgery at the age of 14, cholecystectomy due to cholelithiasis at the age of 17 and chronic diarrhea, who presented with a six months period of gait instability and frequent falls. Physical examination revealed a bilateral pyramidal and cerebellar syndrome, with no visible tendon xanthomas. Read More

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http://dx.doi.org/10.4067/S0034-98872019000500658DOI Listing

A case report and review of the literature of Bouveret syndrome.

Ann R Coll Surg Engl 2020 Jan 20;102(1):e15-e19. Epub 2019 Dec 20.

Upper Gastrointestinal Surgery, Frimley Park Hospital, Frimley Health NHS Trust, Frimley, Camberley, UK.

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937608PMC
January 2020

Eosinophilic cholangitis: A case report of diagnostically challenging eosinophilic infiltrative biliary obstruction.

World J Gastrointest Endosc 2019 Dec;11(12):589-595

Department of Internal Medicine/Division of Gastroenterology and Hepatology, University of California-Davis, Sacramento, CA 95817, United States.

Background: Evaluation of biliary strictures primarily focuses on ruling out malignancy in older age groups. With endoscopic tools such as endoscopic ultrasound (EUS) and cholangioscopy, improved biliary visualization has enhanced the investigation of intraluminal biliary lesions and provided modalities for targeted biopsies. Benign biliary strictures, however, may pose a diagnostic dilemma. Read More

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http://dx.doi.org/10.4253/wjge.v11.i12.589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885728PMC
December 2019

SPECT/CT Demonstrating 131I Accumulation in Gallbladder Stone in a Thyroid Cancer Patient.

Clin Nucl Med 2020 Mar;45(3):244-245

From the Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology; and Hubei Key Laboratory of Molecular Imaging, Wuhan, China.

The radioiodine in the gallbladder usually mimics focal hepatic activity on the planar I whole-body scintigraphy. Here we describe an abnormal uptake in the hepatic region on postablative I scintigraphy in a 37-year-old woman with papillary thyroid cancer. The SPECT/CT images revealed this "hepatic activity" corresponded to gallbladder stone. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002875DOI Listing

Bouveret syndrome: A case report.

World J Clin Cases 2019 Dec;7(23):4144-4149

Department of Gastroenterology, People's Hospital of Jianyang City, Jianyang 641400, Sichuan Province, China.

Background: Bouveret syndrome is a rare complication of cholelithiasis, with only 315 cases reported in the literature between 1967 and 2016. Delay in diagnosis is associated with a high mortality rate. Diagnosis is based upon clinical manifestations, gastroscopy, and imaging studies such as abdominal computed tomography and magnetic resonance cholan-giopancreatography. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i23.4144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906555PMC
December 2019

Incidental Carcinoma Gallbladder: Incidence, Risk Factors, and Factors Affecting Survival-5-Year Experience from a Tertiary Care Institute.

J Gastrointest Cancer 2019 Dec 5. Epub 2019 Dec 5.

Department of Surgical Disciplines, All India Institute of Medical Sciences, Room no. 5025, 5th Floor, Ansari Nagar, New Delhi, 110029, India.

Introduction: Carcinoma gallbladder is a very lethal disease. It can get detected incidentally after laparoscopic cholecystectomy. The overall outcome of incidentally detected carcinoma gallbladder is a matter of debate in literature. Read More

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http://dx.doi.org/10.1007/s12029-019-00347-1DOI Listing
December 2019

Surgical Techniques for the Laparoscopic Treatment of Bile Duct Stones in Patients With a History of Upper Abdominal Operations: Retrospective Cohort Study.

Surg Laparosc Endosc Percutan Tech 2019 Dec;29(6):503-508

Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China.

Purpose: Few authors have studied applying the laparoscopic approach in patients with previous upper abdominal operations, but no comparison has been made between laparoscopic and open approaches in patients with previous upper abdominal operations. This article aims to introduce surgical techniques and details in treatment to surgeons specialized in minimally invasive surgery.

Materials And Methods: From January 2010 to January 2018, 460 eligible patients were divided into 3 groups and analyzed retrospectively. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000678DOI Listing
December 2019

Early-stage T1b adenocarcinoma arising in the remnant cystic duct after laparoscopic cholecystectomy: a case report and literature review.

BMC Surg 2019 Nov 29;19(1):183. Epub 2019 Nov 29.

Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.

Background: The cystic duct has been included in the staging classification scheme for gallbladder cancer since the 2010 publication of the AJCC Cancer Staging Manual (7th edition). To our knowledge, only seven other cases of adenocarcinoma arising in the remnant cystic duct following cholecystectomy have been reported in the English-language literature, and none has been reported as primary early-stage T1b remnant cystic duct cancer (CDC). We report, herein, a case of primary adenocarcinoma arising in the remnant cystic duct in a patient with history of laparoscopic cholecystectomy for gallstone disease. Read More

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http://dx.doi.org/10.1186/s12893-019-0647-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883593PMC
November 2019

Fitz-Hugh-Curtis Syndrome.

N Engl J Med 2019 Nov;381(22):e38

Ospedali Riuniti Marche Nord, Pesaro, Italy

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http://dx.doi.org/10.1056/NEJMicm1813625DOI Listing
November 2019

Pancreatitis in pre-adolescent children: a 10 year experience in the pediatric emergency department.

BMC Emerg Med 2019 11 21;19(1):71. Epub 2019 Nov 21.

Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, 11234 Anderson Street, Loma Linda, CA, 92354, USA.

Background: The diagnosis of pediatric pancreatitis has been increasing over the last 15 years but the etiology of this is uncertain. The population of pre-adolescent patients with pancreatitis in the emergency department has not been specifically described. Our objective was to determine the characteristics of these patients to illuminate this population and disease in order to better identify them and avoid a delay in diagnosis and treatment. Read More

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http://dx.doi.org/10.1186/s12873-019-0281-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868791PMC
November 2019

Postcholecystectomy Biliary Clip Migration Causing Acute Pancreatitis.

ACG Case Rep J 2019 Sep 11;6(9):e00221. Epub 2019 Sep 11.

Division of Gastroenterology, Pancreas Center, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.

Postcholecystectomy biliary clip migration is a rare but important cause of acute pancreatitis (AP). We report the case of a patient with laparoscopic cholecystectomy for cholelithiasis with cholecystitis and recurrent AP 15 and 19 months after. Imaging findings were suggestive of biliary clip migration. Read More

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http://dx.doi.org/10.14309/crj.0000000000000221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831140PMC
September 2019

Separate pancreatic ducts draining into a type IV choledochal cyst: simultaneous anatomical variants in a child suffering from cholelithiasis and acute pancreatitis.

Surg Radiol Anat 2020 Apr 9;42(4):449-452. Epub 2019 Nov 9.

Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy.

The biliary tree and the pancreatic ducts originate from different buds of the primitive foregut. A plethora of anatomical variants and congenital anomalies have been described for both the biliary and the pancreatic duct systems, although they are usually asymptomatic. However, in some cases, these abnormalities can lead to serious clinical scenarios, especially when involving the biliopancreatic junction, with consequent mixing and reflux of the two different juices. Read More

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http://dx.doi.org/10.1007/s00276-019-02377-7DOI Listing

Significant response to anti-PD-1 based immunotherapy plus lenvatinib for recurrent intrahepatic cholangiocarcinoma with bone metastasis: A case report and literature review.

Medicine (Baltimore) 2019 Nov;98(45):e17832

Hepatic Surgery Center, Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Introduction: The prognosis for recurrent intrahepatic cholangiocarcinoma with bone metastasis remains dismal and its treatment poses a challenge for oncologists. To date, only 2 cases were reported in which pembrolizumab, an agent against programmed cell death protein-1 (PD-1), combined with chemotherapy led to a complete response. The safety and efficacy of nivolumab-based immunotherapy combined with lenvatinibin intrahepatic cholangiocarcinoma is unknown. Read More

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http://dx.doi.org/10.1097/MD.0000000000017832DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855517PMC
November 2019

Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature.

BMC Gastroenterol 2019 Nov 7;19(1):177. Epub 2019 Nov 7.

Department of General Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, Guangdong, China.

Background: Choledocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies. Read More

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http://dx.doi.org/10.1186/s12876-019-1088-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839197PMC
November 2019

Male With Right-Sided Abdominal Pain.

Ann Emerg Med 2019 11;74(5):e83-e84

Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY.

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http://dx.doi.org/10.1016/j.annemergmed.2019.05.017DOI Listing
November 2019

Superior gallstone dissolubility and safety of tert-amyl ethyl ether over methyl-tertiary butyl ether.

World J Gastroenterol 2019 Oct;25(39):5936-5952

Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul 06591, South Korea.

Background: The use of methyl-tertiary butyl ether (MTBE) to dissolve gallstones has been limited due to concerns over its toxicity and the widespread recognition of the safety of laparoscopic cholecystectomy. The adverse effects of MTBE are largely attributed to its low boiling point, resulting in a tendency to evaporate. Therefore, if there is a material with a higher boiling point and similar or higher dissolubility than MTBE, it is expected to be an attractive alternative to MTBE. Read More

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http://dx.doi.org/10.3748/wjg.v25.i39.5936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815801PMC
October 2019
2.369 Impact Factor

Type Va extrahepatic bile duct duplication: a case report.

J Med Case Rep 2019 Oct 28;13(1):320. Epub 2019 Oct 28.

Department of GI Surgery, Nepal Medical College & Teaching Hospital, Kathmandu, Nepal.

Background: Extrahepatic bile duct duplication is an extremely rare congenital anomaly in which two common bile ducts exist. There are five different types of this anomaly and we present an unusual variant of duplication of an extrahepatic biliary system of type Va variety.

Case Presentation: This case report describes a 63-year-old women from rural Nepal who presented with type Va of duplicated extrahepatic bile duct, with chronic calculous cholecystitis and choledocholithiasis. Read More

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http://dx.doi.org/10.1186/s13256-019-2259-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816191PMC
October 2019
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Computed tomography findings of ceftriaxone-associated biliary pseudocholelithiasis in adults.

Jpn J Radiol 2019 Dec 25;37(12):826-831. Epub 2019 Oct 25.

Department of Radiology, Shimane University Faculty of Medicine, 89-1, Enya-cho, Izumo, Shimane, 693-8501, Japan.

Purpose: This study aimed to characterize the computed tomography (CT) findings of pseudolithiasis and investigate the outcomes and natural history in adult patients receiving CTRX therapy.

Methods: A total of 17 patients were diagnosed with CTRX-associated biliary pseudolithiasis on CT between April 2013 and March 2017. The medical records, characteristics, complications, treatment options, and outcomes of these patients were examined. Read More

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http://dx.doi.org/10.1007/s11604-019-00893-5DOI Listing
December 2019

Rates of hypercalcemia and hyperparathyroidism among patients with porcelain gallbladder.

Am J Surg 2020 Jul 7;220(1):127-131. Epub 2019 Oct 7.

Mayo Clinic, Department of Surgery, USA. Electronic address:

Background: Porcelain gallbladder is characterized by calcification of the gallbladder wall, possibly associated chronic inflammation from cholelithiasis. It is unknown whether porcelain gallbladder is associated with higher rates of hypercalcemia and/or hyperparathyroidism compared to cholelithiasis without porcelain gallbladder.

Methods: We searched our patient database for patients with porcelain gallbladder on imaging and patients with cholelithiasis without porcelain gallbladder. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.10.010DOI Listing

Percutaneous Cholecystolithotomy Using Cholecystoscopy.

Tech Vasc Interv Radiol 2019 Sep 2;22(3):139-148. Epub 2019 May 2.

Department of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University St. Louis School of Medicine, St Louis, MO.

The morbidity and mortality of cholecystectomy can increase to 10% in high surgical risk patients. The technique for percutaneous cholecystolithotomy consists of 3 steps: (1) percutaneous cholecystostomy, (2) tract dilation and cholecystolithotomy, and (3) tract evaluation and catheter removal. Cholecystoscopy is critical in guiding the lithotripsy probe for fragmentation of large stones and is useful for locating small stone fragments not seen in cholangiography. Read More

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http://dx.doi.org/10.1053/j.tvir.2019.04.006DOI Listing
September 2019
1 Read

Percutaneous Biliary Endoscopy for Stones.

Tech Vasc Interv Radiol 2019 Sep 2;22(3):127-134. Epub 2019 May 2.

Department of Radiology, Albany Medical Center, Albany, NY.

Intraductal biliary stones can result in significant acute and long-term complications. When patients' anatomy precludes more traditional management, the interventional radiologist may be called upon to provide well-established techniques for percutaneous biliary drainage and stone removal. This can be particularly challenging when the patient has excessively mobile, impacted, large or multiple stones. Read More

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http://dx.doi.org/10.1053/j.tvir.2019.04.004DOI Listing
September 2019
1 Read

Endoscopic mucosal resection of a bile duct polyp: A case report.

World J Clin Cases 2019 Sep;7(18):2864-2870

Department of Gastroenterology, Hunan Provincial People's Hospital, Hunan Normal University, Changsha 410011, Hunan Province, China.

Background: Bile duct polyps are difficult to diagnose and are usually excised by open abdominal surgery or snare polypectomy using choledochoscopy the T-tube sinus tract. However, these two resection methods require the surgeon to open the abdomen and cut the bile duct to place the "T" tube. Moreover, simple snare polypectomy, without submucosal injection, can only remove pedunculated polyps and not flat polyps. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i18.2864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789407PMC
September 2019
3 Reads

Percutaneous transhepatic cholangioscopic lithotripsy using soft fiber-optic choledochoscope.

Z Gastroenterol 2019 Oct 14;57(10):1196-1199. Epub 2019 Oct 14.

The Second Department of General Surgery, Zhuhai People's Hospital (Zhuhai hospital affiliated with Jinan University), Xiangzhou District, Zhuhai City, Guangdong Province, China.

Many patients with intrahepatic cholelithiasis need surgical treatment during their life. For patients with hepatolithiasis, conventional therapy methods suggest partial hepatectomy or hepatic transplantation, while both kinds of surgery carry a considerable risk and trauma. Under such conditions, percutaneous transhepatic cholangioscopic lithotripsy provides an alternative method for hepatolithiasis treatment. Read More

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http://dx.doi.org/10.1055/a-0991-0747DOI Listing
October 2019
1 Read

Effectiveness of near-infrared fluorescent cholangiography in the identification of cystic duct-common hepatic duct anatomy in comparison to magnetic resonance cholangio-pancreatography: a preliminary study.

Surg Endosc 2020 Jun 9;34(6):2715-2721. Epub 2019 Oct 9.

Radiology I Unit, Department of Medical, Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University Hospital "Policlinico-Vittorio Emanuele", 95123, Catania, Italy.

Introduction: Bile duct injury represents the most serious complication of LC, with an incidence of 0.3-0.7% resulting in a significant impact on quality-of-life, overall survival, and frequent medico-legal litigations. Read More

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http://dx.doi.org/10.1007/s00464-019-07158-2DOI Listing
June 2020
2 Reads

Is Final Histopathological Examination the Only Diagnostic Criteria for Xanthogranulomatous Cholecystitis?

Niger J Surg 2019 Jul-Dec;25(2):177-182

Department of Surgical Gastroenterology, RMLIMS, Lucknow, Uttar Pradesh, India.

Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon inflammatory disease of gallbladder (GB) and can mimic GB cancer in extensive form. This study aims to assess the predictability of XGC on the basis of clinical presentation, laboratory tests, and radiological or intraoperative findings on frozen section analysis.

Materials And Methods: This is a retrospective study, conducted over a period of 4 years from October 2013 to November 2017. Read More

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http://dx.doi.org/10.4103/njs.NJS_1_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6771184PMC
October 2019
2 Reads

More Is Less: The Advantages of Performing Concurrent Laparoscopic Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography for Pediatric Choledocholithiasis.

J Laparoendosc Adv Surg Tech A 2019 Nov 30;29(11):1481-1485. Epub 2019 Sep 30.

Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) are standard of care for pediatric choledocholithiasis. Patients typically undergo separate procedures during hospitalization. Collaboration between surgical and gastroenterology services led to performance of both procedures concurrently during one anesthetic. Read More

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http://dx.doi.org/10.1089/lap.2019.0429DOI Listing
November 2019
2 Reads

Recurrence of common bile duct stones following laparoscopic common bile duct exploration: a multicenter study.

J Hepatobiliary Pancreat Sci 2019 Dec 29;26(12):578-582. Epub 2019 Oct 29.

Department of General Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 63-ro 10, Yeongdeungpo-gu, Seoul, 07345, Korea.

Background: Recurrence of common bile duct stone (CBDS) is not common after laparoscopic common bile duct exploration (LCBDE). This study aimed to investigate the risk factors of recurrence of CBDS after LCBDE.

Methods: Patients who underwent LCBDE between January 2001 and December 2018 in four teaching hospitals of The Catholic University of Korea were included. Read More

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http://dx.doi.org/10.1002/jhbp.675DOI Listing
December 2019
1 Read

Percutaneous transhepatic laser lithotripsy for intrahepatic cholelithiasis: A technical report.

J Med Imaging Radiat Oncol 2019 Dec 23;63(6):758-764. Epub 2019 Sep 23.

Interventional Radiology Service - Department of Radiology, Austin Hospital, Melbourne, Victoria, Australia.

Advances in interventional radiology have seen the adaptation of urological endoscopic laser techniques to treat biliary tract calculi. Percutaneous transhepatic biliary laser lithotripsy provides an effective alternative procedure for the management of intrahepatic or conventionally refractory choledocholithiasis which would otherwise require invasive and high-risk surgical intervention. Several small studies have validated the procedure for management in this subset of patients, with most achieving 100% calculi clearance with minimal complications. Read More

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http://dx.doi.org/10.1111/1754-9485.12952DOI Listing
December 2019
4 Reads

[Gallbladder agenesis - A rare congenital anomaly mimicking cholelithiasis in an adult woman].

Orv Hetil 2019 Sep;160(38):1510-1513

Élettani Tanszék, Marosvásárhelyi Orvosi, Gyógyszerészeti, Tudomány- és Technológiai Egyetem Marosvásárhely, Románia.

Gallbladder agenesis is a rare congenital malformation due to an embryological defect of the biliary system. In most cases it is asymptomatic, but it can also mimic biliary colic. We report the case of a 72-year-old Caucasian woman with a medical history of cardiovascular disease and hypercholesterolemia, under cholesterol-lowering and hypotensive treatment, who presented symptoms suggesting biliary colic. Read More

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http://dx.doi.org/10.1556/650.2019.31504DOI Listing
September 2019
8 Reads

Increased FDG Uptake in the Center of the Gallbladder Stone: An Enigma.

Authors:
Xia Ji Aisheng Dong

Clin Nucl Med 2019 Dec;44(12):985-986

Department of Nuclear Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China.

We present a case with a large gallbladder stone showing central hypermetabolism detected incidentally by an FDG PET/CT scan. However, the same gallbladder stone did not showed any FDG activity on the FDG PET/CT scan performed 2 years ago. The mechanism of variable FDG uptake in the same gallbladder stone is unclear, which needs further investigation. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002769DOI Listing
December 2019
3 Reads