7,646 results match your criteria Cholelithiasis Imaging


Lemmel's Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum.

Eur J Case Rep Intern Med 2017 5;4(6):000632. Epub 2017 May 5.

Department Of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.

In 1934 Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Obstructive jaundice caused by periampullary duodenal diverticulum (PAD) in absence of choledocholithiasis or tumor is known as Lemmel syndrome. A patient with an extraluminal duodenal diverticulum presenting with obstructive jaundice and pancreatitis is presented in this case. Read More

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http://dx.doi.org/10.12890/2017_000632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346791PMC

Ultrasound findings in paediatric cholestasis: how to image the patient and what to look for.

J Ultrasound 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, "Federico II" University Hospital, Naples, Italy.

Paediatric biliary tract and gallbladder diseases include a variety of entities with a wide range of clinical presentations. Cholestasis represents an impaired secretion of bilirubin by hepatocytes, manifesting with high blood levels of conjugated bilirubin and jaundice. Various causes may be involved, which can be recognised analysing blood tests and hepatobiliary imaging, while sometimes liver biopsy or surgery may be necessary. Read More

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http://dx.doi.org/10.1007/s40477-019-00362-9DOI Listing
February 2019

Single-stage approach for the management of choledocolithiasis with concomitant cholelithiasis. Implementation of a protocol in a secondary hospital.

Surgeon 2019 Jan 28. Epub 2019 Jan 28.

Hepatobiliary and Pancreatic Surgery Unit, General Surgery Department, Joan XXIII University Hospital, Tarragona, Spain.

Background: Current evidence shows that single-stage treatment of concomitant choledocholithiasis and cholelithiasis is as effective and safe as two-stage treatment. However, several studies suggest that single-stage approach requires shorter hospitalization time and is more cost-effective than the two-stage approach, even though it requires considerable training. This study aimed to evaluate the implementation of a protocol for managing concomitant choledocholithiasis and cholelithiasis using single-stage treatment. Read More

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http://dx.doi.org/10.1016/j.surge.2018.12.001DOI Listing
January 2019
1 Read

Against the Odds: A Novel Technique to Perform Cholangiography from a Percutaneous Approach through the Cystic Duct.

Cureus 2018 Nov 12;10(11):e3577. Epub 2018 Nov 12.

Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.

Percutaneous cholangiography is typically performed via a transhepatic approach and is reserved for patients with contraindications to traditional cholangiogram imaging modalities. For those with suspected cholelithiasis or choledocholithiasis who cannot undergo magnetic resonance imaging for diagnosis, percutaneous cholecystostomy with cholangiogram is a viable option. Endoscopic retrograde cholangiopancreatography may also be precluded due to anatomic or obstructive limitations, in which case, percutaneous transhepatic cholangiography (PTC) may be indicated for diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.3577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333255PMC
November 2018
2 Reads

COMPARATIVE EVALUATION OF MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY AND PERIOPERATIVE CHOLANGIOGRAPHY IN PATIENTS WITH SUSPECT CHOLEDOCHOLITHIASIS.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1416. Epub 2019 Jan 7.

Discipline of Digestive System Surgery.

Background: Cholelithiasis is a highly prevalent condition, and choledocholitiasis is a high morbidity complication and requires accurate methods for its diagnosis.

Aim: To evaluate the population of patients with suspected choledocholitiasis and check the statistical value of magnetic resonance cholangiopancreatography, ultrasonography, the laboratory and the clinic of these patients comparing them to the results obtained by perioperative cholangiography.

Methods: This is a retrospective cohort study, which were evaluated 76 patients with cholelithiasis and suspected choledocholithiasis. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323631PMC
January 2019
2 Reads

Localized pancreatic Castleman disease presenting with extrahepatic dilatation of bile ducts: A case report and review of published cases.

Int J Surg Case Rep 2019 20;54:28-33. Epub 2018 Nov 20.

Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba, S/N - Centro, CEP: 56304-917, Petrolina, PE, Brazil. Electronic address:

Introduction: Castleman disease (CD) is a rare polyclonal lymphoproliferative disorder of unknown etiology, which usually develops in the mediastinum. It can also occur in the cervical, retroperitoneal and axillary regions. Localized pancreatic CD is quite rare [1]. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279997PMC
November 2018
3 Reads

Evaluation of Preoperative Ultrasonography in Gall Stone Disease to Predict Technical Difficulties during Laparoscopic Cholecystectomy.

Mymensingh Med J 2018 Oct;27(4):757-763

Dr Md Monoarul Islam Talukdar, Resident Surgeon (Surgery), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh; E-mail:

Laparoscopic cholecystectomy is the gold standard in the treatment of gallstones. This study was carried out to determine the technical difficulties that can be encountered during laparoscopic cholecystectomy and to evaluate the role of ultrasonography in identifying patients at risk of conversion returning to open surgery. The objective of this study was to evaluate the efficacy of preoperative ultrasonography in assessing technical difficulty faced during laparoscopic cholecystectomy in gallstone disease. Read More

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October 2018
7 Reads

Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval.

Radiol Case Rep 2019 Feb 20;14(2):246-250. Epub 2018 Nov 20.

Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA.

Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.10.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250801PMC
February 2019
1 Read

Dedifferentiated liposarcoma of the gallbladder: first reported case.

World J Surg Oncol 2018 Nov 12;16(1):221. Epub 2018 Nov 12.

Department of Surgery, Federal University of Pernambuco, Recife, PE, Brazil.

Background: Liposarcoma of the gallbladder is an extremely rare sarcoma, with only five cases reported in the literature according to our knowledge.

Case Presentation: A 71-year-old woman was referred to the Surgical Oncology Division of Napoleão Laureano Hospital (João Pessoa, PB, Brazil) due to a solid mass at the right side of the abdomen and fever, with no signs of jaundice. Abdominal ultrasonography and computed tomography (CT) evidenced an extensive gallbladder lobular formation adhered to the inferior border of the right hepatic lobe and cholelithiasis. Read More

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https://wjso.biomedcentral.com/articles/10.1186/s12957-018-1
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http://dx.doi.org/10.1186/s12957-018-1520-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233360PMC
November 2018
11 Reads

Inflammatory Pseudotumor of the Liver Presented in a Patient with Cholelithiasis.

Cureus 2018 Aug 29;10(8):e3231. Epub 2018 Aug 29.

2nd Department of Surgery, Aretaieio Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

An inflammatory pseudotumor of the liver is a rare tumor-like lesion consisting of an inflammatory infiltrate that often can mimic a malignant liver neoplasm. The cause of an inflammatory pseudotumor of the liver is unknown, but it has been reported to be associated with different comorbid conditions most likely inflammatory or infectious in origin. We present an 83-year-old female who presented with a symptomatic gallstones disease and an incidental finding of inflammatory pseudotumor mimicking intrahepatic cholangiocarcinoma in preoperative liver imaging. Read More

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https://www.cureus.com/articles/14501-inflammatory-pseudotum
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http://dx.doi.org/10.7759/cureus.3231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207491PMC
August 2018
15 Reads

[Chinese guidelines for ERCP (2018)].

Authors:

Zhonghua Nei Ke Za Zhi 2018 Nov;57(11):772-801

Endoscopic retrograde cholangiopancreatography (ERCP) was reported for the first time in 1970s. Since then, ERCP has become an indispensable procedure in the diagnosis and management of a variety of biliary and pancreatic disorders. The main purpose of Chinese ERCP guideline is to precisely define the clinical indications of ERCP. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.11.002DOI Listing
November 2018
11 Reads

Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital.

Medicine (Baltimore) 2018 Nov;97(44):e12976

Department of General Surgery, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.

Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis is essential to reduce waiting days for surgery and hospital stay in these patients. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811020-0002
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http://dx.doi.org/10.1097/MD.0000000000012976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221722PMC
November 2018
4 Reads

Ursodeoxycholic acid combined with percutaneous transhepatic balloon dilation for management of gallstones after elimination of common bile duct stones.

World J Gastroenterol 2018 Oct;24(39):4489-4498

Department of Intervention Medicine, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China.

Aim: To evaluate the effectiveness and safety of combined ursodeoxycholic acid and percutaneous transhepatic balloon dilation for management of gallstones after expulsion of common bile duct (CBD) stones.

Methods: From April 2014 to May 2016, 15 consecutive patients (6 men and 9 women) aged 45-86 (mean, 69.07 ± 9. Read More

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http://www.wjgnet.com/1007-9327/full/v24/i39/4489.htm
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http://dx.doi.org/10.3748/wjg.v24.i39.4489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196333PMC
October 2018
27 Reads
2.370 Impact Factor

[Radiologic diagnostics of the gall bladder and bile ducts-part 1 : Imaging techniques-normal variants and congenital disorders-cholelithiasis].

Radiologe 2018 Nov;58(11):1021-1034

Kinderradiologie im Dr. von Haunerschen Kinderspital der Radiologischen Klinik und Poliklinik, Ludwig-Maximilians-Universität München, München, Deutschland.

Upper abdominal pain, icterus and cholestasis are the main symptoms leading to evaluation of the biliary tract. Since the advent of contrast-enhanced ultrasound techniques the accuracy of bile duct imaging has significantly improved. This is also true for computed tomography using isotropic secondary reconstructions as well as magnetic resonance imaging (MRI) including MR cholangiography (MRC), classically and after iv injection of hepatobiliary contrast agent. Read More

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http://dx.doi.org/10.1007/s00117-018-0460-yDOI Listing
November 2018
1 Read

Cholecystocolonic fistula with a giant colonic gallstone: the mainstay of treatment in an acute setting.

J Surg Case Rep 2018 Oct 16;2018(10):rjy278. Epub 2018 Oct 16.

Hôpital Maisonneuve-Rosemont, Service de Chirurgie Colorectale, 5415 Boul de l'Assomption, Montréal, Quebec, Canada.

A cholecystoenteric fistula (CEF) is a rare complication of cholelithiasis with cholecystitis. Cholecystocolonic fistulas (CCFs) account for 8-26.5% of all CEFs. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy27
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http://dx.doi.org/10.1093/jscr/rjy278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189374PMC
October 2018
10 Reads

Cholelithiasis and Related Morbidity in Chronic Intestinal Failure: a Longitudinal Cohort Study from a National Specialized Centre.

J Gastrointest Surg 2018 Oct 15. Epub 2018 Oct 15.

Irving National Intestinal Failure Unit and The University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, M6 8HD, UK.

Background: Short-term studies have shown that patients with type III intestinal failure often develop gallstones and have recommended prophylactic cholecystectomy. In this retrospective cohort study, we aimed to define the incidence and clinical consequences of cholelithiasis over an extended time period, in order to refine the role of prophylactic cholecystectomy in type III intestinal failure.

Methods: Data were retrospectively collected from a prospectively maintained audit. Read More

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http://dx.doi.org/10.1007/s11605-018-3979-3DOI Listing
October 2018
1 Read

Clinical characteristics and risk factors for stent-stone complex formation following biliary plastic stent placement in patients with common bile duct stones.

J Hepatobiliary Pancreat Sci 2018 Oct 22;25(10):448-454. Epub 2018 Oct 22.

Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan.

Background: Stent-stone complex (SSC) formation is one of the complications of endoscopic biliary stent placement. This study aimed to clarify the clinical characteristics and risk factors for SSC formation following plastic stent (PS) placement in patients with common bile duct (CBD) stones.

Methods: We retrospectively reviewed the charts of 78 patients with CBD stones who had undergone 107 biliary stent placements as palliative treatment. Read More

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http://dx.doi.org/10.1002/jhbp.584DOI Listing
October 2018
1 Read

Repeated cardiac arrest caused by an air embolism during hepatic resection: A case report.

Medicine (Baltimore) 2018 Sep;97(39):e12639

Department of Anesthesia, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.

Rationale: Although venous air embolism (VAE) during liver operation has been reported occasionally, fatal VAE in hepatic resection is uncommon. Prompt detection of VAE by transesophageal echocardiography (TEE) is crucial for effective therapy. We describe a case of fatal VAE that caused repeated cardiac arrest during hepatic resection and was confirmed by TEE. Read More

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http://dx.doi.org/10.1097/MD.0000000000012639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181541PMC
September 2018
11 Reads

Sarcomatous intrahepatic cholangiocarcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Sep;97(39):e12549

Department of General Surgery.

Rationale: Sarcomatous intrahepatic cholangiocarcinoma is a rare histological variant of cholangiocarcinoma (ICC). Previous medical literature has not mentioned the prevalence of this kind of disease, but a poorer prognosis than that of ordinary ICC was indicated. The diagnosis of the sarcomatous ICC is established on histopathological and immunohistochemical examinations. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809280-0007
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181610PMC
September 2018
5 Reads

Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients.

BMJ Case Rep 2018 Sep 30;2018. Epub 2018 Sep 30.

NYU Langone Medical Center, Brooklyn, New York, USA.

A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. Read More

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http://dx.doi.org/10.1136/bcr-2018-227442DOI Listing
September 2018
2 Reads

Gallbladder Agenesis: A Case Report.

Yale J Biol Med 2018 09 21;91(3):237-241. Epub 2018 Sep 21.

Section of Gastrointestinal Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.

Gallbladder agenesis (GA) is an extremely rare congenital entity. The incidence is around 1 per 6500 live births. The majority of patients, estimated between 50 to 70 percent, remain asymptomatic while those who are symptomatic report symptoms mimicking biliary colic. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153629PMC
September 2018
21 Reads

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report.

J Int Med Res 2018 Nov 23;46(11):4806-4812. Epub 2018 Sep 23.

1 Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China PR.

Background: Mirizzi syndrome is a rare complication of chronic cholecystitis, usually caused by gallstones impacted in the cystic duct or the neck of the gallbladder. Mirizzi syndrome results in compression of the hepatic duct or fistula formation between the gallbladder and common bile duct (or hepatic duct, right hepatic duct, or even mutative right posterior hepatic duct). Clinical features include abdominal pain, fever, and obstructive jaundice. Read More

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http://dx.doi.org/10.1177/0300060518797246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259394PMC
November 2018
11 Reads

Long-term survival of a patient with recurrent gallbladder carcinoma, treated with chemotherapy, immunotherapy, and surgery: a case report.

Surg Case Rep 2018 Sep 15;4(1):115. Epub 2018 Sep 15.

Fukuoka General Cancer Clinic, 3-1-1 Sumiyoshi, Hakata-ku, Fukuoka, 812-0018, Japan.

Background: Gallbladder cancer (GBC) is one of the refractory diseases. Multidisciplinary approach including immunotherapy for such cancers has received much attention in recent years.

Case Presentation: A 59-year-old man underwent an extended cholecystectomy for GBC (pathological stage II, T2 N0 M0, [per UICC 7th edition]) that was incidentally found during cholelithiasis surgery, and was then treated with adjuvant gemcitabine (GEM). Read More

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http://dx.doi.org/10.1186/s40792-018-0512-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139108PMC
September 2018
4 Reads

Percutaneous transhepatic extraction and balloon dilation for simultaneous gallbladder stones and common bile duct stones: A novel technique.

World J Gastroenterol 2018 Sep;24(33):3799-3805

Department of Interventional Medicine, The Second Hospital of Shandong University, Jinan 250033, Shandong Province, China.

Aim: To evaluate the clinical efficacy and safety of an innovative percutaneous transhepatic extraction and balloon dilation (PTEBD) technique for clearance of gallbladder stones in patients with concomitant stones in the common bile duct (CBD).

Methods: The data from 17 consecutive patients who underwent PTEBD for clearance of gallbladder stones were retrospectively analyzed. After removal of the CBD stones by percutaneous transhepatic balloon dilation (PTBD), the gallbladder stones were extracted to the CBD and pushed into the duodenum with a balloon after dilation of the sphincter of Oddi. Read More

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http://dx.doi.org/10.3748/wjg.v24.i33.3799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127656PMC
September 2018
9 Reads
2.370 Impact Factor

Cholecystectomy Patients with High Plasma Level of Catalase Have Significantly Lower Analgesia Requirement: A Prospective Study of Two Different Cholecystectomy Techniques with Special Reference to Patients with Cancer.

Anticancer Res 2018 Sep;38(9):5417-5422

Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland

Background/aim: The plasma level of the oxidative stress biomarker catalase in patients with gallstone disease has not been previously compared with that of patients with cancer. Moreover, the number of analgesic doses required during the first 24 h postoperatively (NAD) after laparoscopic cholecystectomy (LC) or mini-cholecystectomy (MC) in patients with gallstones is unreported. The aim of the present study was to determine the correlation between the plasma catalase level in patients with gallstones according to cholecystectomy technique versus patients with cancer. Read More

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http://dx.doi.org/10.21873/anticanres.12872DOI Listing
September 2018
1 Read

Laparoscopic Ultrasonography Versus Magnetic Resonance Cholangiopancreatography in Laparoscopic Surgery for Symptomatic Cholelithiasis and Suspected Common Bile Duct Stones.

J Gastrointest Surg 2018 Sep 5. Epub 2018 Sep 5.

Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China.

Background: There continues to be controversy regarding the optimal screening modality in patients with symptomatic cholelithiasis and suspected common bile duct (CBD) stones. The aim of this study was to assess the diagnostic accuracy of laparoscopic ultrasonography (LUS) compared to magnetic resonance cholangiopancreatography (MRCP).

Methods: Both LUS and MRCP were performed to evaluate the CBD stones and biliary anatomy in 200 patients undergoing laparoscopic surgery. Read More

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http://dx.doi.org/10.1007/s11605-018-3949-9DOI Listing
September 2018
4 Reads

Gallbladder agenesis mimicking cholelithiasis in an adult.

Radiol Case Rep 2018 Jun 4;13(3):640-643. Epub 2018 Apr 4.

Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

We present the case of a 24-year-old woman with morbid obesity who came to the emergency department with right upper quadrant abdominal pain associated with nausea and vomiting. Her workup included a right upper quadrant ultrasound suggestive of a small gallbladder with cholelithiasis without sonographic evidence of acute cholecystitis. She underwent attempted laparoscopic cholecystectomy with no identifiable gallbladder during surgery. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114116PMC
June 2018
18 Reads

Echogenic material in the fetal gallbladder: prevalence, sonographic spectrum, and perinatal outcome in an unselected third-trimester population.

J Matern Fetal Neonatal Med 2018 Oct 10:1-9. Epub 2018 Oct 10.

b Department of Maternal Fetal Medicine , Palo Alto Medical Foundation , Mountain View , California , USA.

Objective: To determine the prevalence, sonographic spectrum, and clinical significance of echogenic material in the fetal gallbladder in our population.

Methods: Sonographic visualization of the fetal gallbladder was attempted in 3894 consecutive third-trimester pregnancies (4026 fetuses). Gallbladder content was classified as clear (anechoic), containing echogenic material that was either diffuse (sludge), or presenting as a single focus or multiple foci (gallstone(s)). Read More

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https://www.tandfonline.com/doi/full/10.1080/14767058.2018.1
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http://dx.doi.org/10.1080/14767058.2018.1517310DOI Listing
October 2018
14 Reads

Unexpected cause of severe ascending cholangitis in a patient with chronic calculous cholecystitis.

BMJ Case Rep 2018 Aug 27;2018. Epub 2018 Aug 27.

Department of General Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico.

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http://dx.doi.org/10.1136/bcr-2018-226402DOI Listing
August 2018
3 Reads

The Role of Endoscopic Ultrasonography and Magnetic Resonance Cholangiopancreatography in Patients With Acute Pancreatitis After Negative Computed Tomography Findings of the Etiology.

Pancreas 2018 10;47(9):1165-1171

Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Objectives: We aimed to investigate the roles of endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) in detecting the causes of acute pancreatitis after negative computed tomography (CT) findings.

Methods: Demographic characteristics, blood test results, the severity of pancreatitis, and definite or possible etiology of pancreatitis by EUS and MRCP were evaluated prospectively in 65 consecutively admitted patients after negative CT findings.

Results: Endoscopic ultrasonography and/or MRCP confirmed the definite causes of pancreatitis in 47. Read More

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http://Insights.ovid.com/crossref?an=00006676-201810000-0001
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http://dx.doi.org/10.1097/MPA.0000000000001149DOI Listing
October 2018
8 Reads

When should gallbladder polyps be treated surgically?

Adv Clin Exp Med 2018 Aug 24. Epub 2018 Aug 24.

Department of General Surgery, Hitit University School of Medicine, Çorum, Turkey.

Background: This study was performed to better understand the best surgery timing for gallbladder polyps (GP).

Objectives: The objective was to determine the potential for malignant transformation and the best timing for surgery in GP, based on an assessment of the clinical symptomatology and on the results of the imaging and histopathological examinations.

Material And Methods: Age, gender, clinical symptoms, preoperative ultrasound findings, and the results of the postoperative histopathological examination were retrospectively assessed in a total of 2,656 patients undergoing cholecystectomy in Department of General Surgery, Hitit University School of Medicine, Çorum, Turkey, between 2008 and 2013. Read More

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http://www.advances.umed.wroc.pl/ahead-of-print/75678.pdf
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http://dx.doi.org/10.17219/acem/75678DOI Listing
August 2018
18 Reads

A curious case of cololithiasis.

Ann R Coll Surg Engl 2018 Sep 16;100(7):e188-e190. Epub 2018 Aug 16.

Department of General Surgery, Royal Derby Hospital , Derby , UK.

Gallstone ileus is an uncommon cause of bowel obstruction that involves cholecystoenteric fistulation and resultant passage of gallstones into the bowel. In the vast majority of cases, the fistula forms between the gallbladder and duodenum leading to small bowel obstruction. We report a case of cholecystocolic fistulation and subsequent large-bowel obstruction in a 75-year-old woman who presented acutely after taking a bowel preparation for an outpatient colonoscopy during the course of an investigation of anaemia and nonspecific abdominal pain. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214049PMC
September 2018
3 Reads

Gallbladder to the left side of the falciform ligament in absence of Situs Inversus "Sinistroposition" - Case series of 2 patients with this anomaly who underwent mini-laparoscopic cholecystectomy.

Int J Surg Case Rep 2018 27;50:36-41. Epub 2018 Jun 27.

Tenancingo Surgical Center (Central Quirúrgica Tenancingo), 306 Matamoros, Tenancingo, Mexico, 52400, Mexico. Electronic address:

Introduction: Gallbladders located to the left of falciform ligament, without situs inversus, are denominated sinistroposition or true left-sided gallbladders; it is considered a rare anatomic anomaly with a prevalence in between 0.1% and 0.7%. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.05.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072888PMC
June 2018
3 Reads

Trans-infundibular choledochoscopy: a method for accessing the common bile duct in complex cases.

Langenbecks Arch Surg 2018 Sep 29;403(6):777-783. Epub 2018 Jul 29.

Department of Upper GI Surgery, Northwick Park Hospital and St Marks Hospitals, Watford Road, London, HA1 3UJ, UK.

Purpose: During laparoscopic common bile duct exploration (LCBDE) where Calot's triangle cannot be safely dissected due to a 'frozen' hepatic hilum secondary to severe inflammation or fibrosis, the preferred transcystic approach to the common bile duct (CBD) is precluded. The aim of this paper is to describe a safe method of accessing the CBD via a trans-infundibular approach (TIA) in complex cases where conventional access to the cystic duct or CBD is denied.

Methods: A retrospective review of 154 consecutive patients who underwent LCBDE at a single centre between 2014 and 2018 was performed. Read More

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http://dx.doi.org/10.1007/s00423-018-1698-6DOI Listing
September 2018
3 Reads
2.160 Impact Factor

Computed tomography imaging of complications of acute cholecystitis.

Indian J Radiol Imaging 2018 Apr-Jun;28(2):195-199

Facultad de Medicina, Clínica Alemana, Universidad del Desarrollo, Radiology Department, Hospital Padre Hurtado, Santiago de Chile.

Acute cholecystitis (AC) is a frequent complication of biliary cholelithiasis. Although ultrasound is the first diagnostic imaging procedure, frequently the initial imaging modality is computed tomography (CT). Therefore, familiarization of CT findings in AC and potential related complications are extremely important. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_316_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038218PMC
July 2018
1 Read

Evaluation of laparoscopic cholecystectomy using indocyanine green cholangiography including cholecystitis: A retrospective study.

Medicine (Baltimore) 2018 Jul;97(30):e11654

Department of Digestive Surgery, Breast and Thyroid Surgery Graduate School of Medical and Dental Sciences Kagoshima University, Sakuragaoka, Kagoshima, Japan.

Intraoperative cholangiography involving the excretion of fluorescent indocyanine green (ICG) into the bile is used to determine biliary anatomy in laparoscopic cholecystectomy (LC). This study aimed to evaluate the features of intraoperative ICG cholangiography, in LC with cholecystitis, and compared the delineation of the cystic duct (CD) between ICG cholangiography and magnetic resonance cholangiopancreatography (MRCP).Participants comprised 65 patients undergoing LC using ICG cholangiography. Read More

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http://dx.doi.org/10.1097/MD.0000000000011654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078678PMC
July 2018
4 Reads

Prolonged sitting increases the risk of gallstone disease regardless of physical activity: a cohort study.

Scand J Gastroenterol 2018 Jun - Jul;53(7):864-869. Epub 2018 Jun 16.

e Department of Internal Medicine , Sungkyunkwan University School of Medicine , Seoul , South Korea.

Objectives: We aimed to examine the relationship between sitting time and the development of ultrasonography-diagnosed gallstone disease (GSD) in young and middle-aged Korean men and women.

Material And Methods: We conducted a cohort study of 147,237 participants without GSD at baseline who underwent a health checkup examination between 2011 and 2015 and were followed annually or biennially until December 2016. Sitting time and physical activity were measured using the validated Korean version of the international physical activity questionnaire short form. Read More

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http://dx.doi.org/10.1080/00365521.2018.1476910DOI Listing
November 2018
1 Read

Symptomatic cholelithiasis in an ectopic retrocolic retroduodenal subhepatic duplicated gallbladder.

Radiol Case Rep 2018 Aug 5;13(4):904-908. Epub 2018 Jul 5.

Department of Surgery, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.

Gallbladder duplication is a rare anatomic variant of biliary anatomy, which can present diagnostic and treatment challenges. In this case, a 49-year-old male presented with classic symptoms of biliary colic to his primary care physician, and while computed tomography (CT) noted the presence of gallstones, neither CT nor ultrasound was able to locate a gallbladder within the gallbladder fossa. Initial surgery found and cauterized a rudimentary gallbladder, but symptoms persisted, requiring a second surgery and secondary analysis of CT, ultrasound, and magnetic resonance imaging with magnetic resonance cholangiopancreatography. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036940PMC
August 2018
20 Reads

A Clinical Model for the Early Diagnosis of Acute Pancreatitis in the Emergency Department.

Pancreas 2018 08;47(7):871-879

Center for Evidence Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston MA.

Objective: This study aimed to develop a diagnostic model that predicts acute pancreatitis (AP) risk before imaging.

Methods: Emergency department patients with serum lipase elevated to 3 times the upper limit of normal or greater were identified retrospectively (September 1, 2013-August 31, 2015). An AP diagnosis was established by expert review of full hospitalization records. Read More

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http://dx.doi.org/10.1097/MPA.0000000000001102DOI Listing
August 2018
17 Reads

Gall stone ileus: Unfamiliar cause of bowel obstruction. Case report and literature review.

Int J Surg Case Rep 2018 25;49:44-50. Epub 2018 Jun 25.

Department of Surgery, Al-Amiri Hospital, Kuwait. Electronic address:

Introduction: Gallstone ileus is a rare sequela of cholelithiasis. The pathology occurs as a result of bilioenteric fistula due to erosion by the offending gallbladder stone. It is most commonly encountered in elderly females and CT imaging is diagnostic in the majority of cases. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039705PMC
June 2018
39 Reads

[Successful endoscopic treatment of severe iatrogenic injury of common bile duct].

Khirurgiia (Mosk) 2018(6):109-111

Endoscopic Department of Petrovsky Russian Research Center for Surgery, Moscow, Russia.

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http://dx.doi.org/10.17116/hirurgia20186109-111DOI Listing
October 2018

Symptomatic Cholelithiasis of a Remnant Gallbladder after Open Cholecystectomy.

J Emerg Med 2018 09 23;55(3):e71-e73. Epub 2018 Jun 23.

Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan.

Background: Recurrent abdominal pain, particularly in the right upper quadrant (RUQ) in a patient with a history of cholecystectomy, known as postcholecystectomy syndrome, requires a broad differential diagnosis. Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain.

Case Report: A 49-year-old woman who had previously undergone an open cholecystectomy presented to the emergency department with several hours of postprandial RUQ pain and emesis. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.05.028DOI Listing
September 2018
8 Reads

Total bilirubin trend as a predictor of common bile duct stones in acute cholecystitis and symptomatic cholelithiasis.

Am J Surg 2019 Jan 18;217(1):98-102. Epub 2018 Jun 18.

Yale School of Medicine, Department of Trauma, Surgical Critical Care and Surgical Emergencies, New Haven, CT, USA. Electronic address:

Background: We hypothesized that trends in total bilirubin in the context of cholecystitis and symptomatic cholelithiasis could be used to guide testing for the presence of common bile duct stones (CBDS).

Methods: A review of adult patients with acute cholecystitis or biliary colic with elevated total bilirubin and at least two levels drawn prior to procedural intervention was performed. Trends of total bilirubin and other serum makers were examined to predict the presence of CBDS. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.06.011DOI Listing
January 2019
7 Reads

Choledochoscopic Examination of a 3-Dimensional Printing Model Using Augmented Reality Techniques: A Preliminary Proof of Concept Study.

Surg Innov 2018 Oct 18;25(5):492-498. Epub 2018 Jun 18.

1 Department of Hepatopancreatobiliary Surgery, Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital, Beijing, China.

Background: We applied augmented reality (AR) techniques to flexible choledochoscopy examinations.

Methods: Enhanced computed tomography data of a patient with intrahepatic and extrahepatic biliary duct dilatation were collected to generate a hollow, 3-dimensional (3D) model of the biliary tree by 3D printing. The 3D printed model was placed in an opaque box. Read More

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http://dx.doi.org/10.1177/1553350618781622DOI Listing
October 2018
1 Read

Mirizzi's syndrome: A scoring system for preoperative diagnosis.

Saudi J Gastroenterol 2018 Sep-Oct;24(5):274-281

Department of Surgical Gastroenterology, Jagjivanram Western Railway Hospital, Mumbai, Maharashtra, India.

Background/aim: Mirizzi's syndrome (MS) is an unusual complication of gallstone disease and occurs in approximately 1% of patients with cholelithiasis. Majority of cases are not identified preoperatively, despite the availability of modern imaging techniques. A preoperative diagnosis can forewarn the operating surgeon and avoid bile duct injuries in cases of complicated cholecystitis. Read More

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http://dx.doi.org/10.4103/sjg.SJG_6_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151998PMC
December 2018
9 Reads

Role of Multidetector Computed Tomography (MDCT) in Evaluation of Gallbladder Malignancy and its Pathological Correlation in an Indian Rural Center.

Maedica (Buchar) 2018 Mar;13(1):55-60

Department of Surgery, M.M. Institute of Medical Sciences and Research, Mullana (Distt-Ambala), Haryana, India.

Objectives: Clinically or sonographically suspected gallbladder carcinoma was evaluated on multidetector computed tomography. Based on the spectrum of multidetector computed tomography findings, staging of gallbladder carcinoma was done. Multidetector computed tomography diagnosis was compared with pathological diagnosis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972789PMC
March 2018
3 Reads

[Development of Diagrammatic Recording System for Choledochoscope and Its Clinical Application].

Zhongguo Yi Liao Qi Xie Za Zhi 2017 Nov;41(6):450-452

Department of Hepatobiliary Surgery, First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061.

Objectives: To develop a diagrammatic recording system for choledochoscopy and evaluate the system with clinical application.

Methods: To match the real-time image and procedure illustration during choledochoscopy examination, we combined video-image capture and speech recognition technology to quickly generate personalized choledochoscopy images and texts records. The new system could be used in sharing territorial electronic medical records, telecommuting, scientific research and education, et al. Read More

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http://dx.doi.org/10.3969/j.issn.1671-7104.2017.06.016DOI Listing
November 2017
1 Read

[Diagnosis and treatment of gallstone intestinal obstruction].

Khirurgiia (Mosk) 2018(5):28-32

Pirogov Russian National Research Medical University of Healthcare Ministry of Russia, Moscow.

Aim: To analyze informative value of radiological examination in diagnosis of acute gallstone intestinal obstruction.

Material And Methods: Diagnosis and treatment of 7 patients with acute gallstone intestinal obstruction have been analyzed. Diagnostic protocol included radiography of abdominal cavity, sonography and computed tomography. Read More

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http://dx.doi.org/10.17116/hirurgia2018528-32DOI Listing
October 2018

[The Management of Common Bile Duct Stones].

Authors:
Chang Hwan Park

Korean J Gastroenterol 2018 05;71(5):260-263

Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

Common bile duct (CBD) stone is a relatively frequent disorder with a prevalence of 10-20% in patients with gallstones. This is also associated with serious complications, including obstructive jaundice, acute suppurative cholangitis, and acute pancreatitis. Early diagnosis and prompt treatment is the most important for managing CBD stones. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4166/kjg.2018.71
Publisher Site
http://dx.doi.org/10.4166/kjg.2018.71.5.260DOI Listing
May 2018
3 Reads