10,557 results match your criteria acute cholecystitis

Do surgical emergencies stay at home? Observations from the first United States Coronavirus epicenter.

J Trauma Acute Care Surg 2021 Jul;91(1):241-246

From the Department of Surgery (C.T.D., A.L., E.R.L., S.M., E.C., S.H.R., S.H.T., J.M.), Jacobi Medical Center, Bronx; Kings County Hospital Center (M.E.S.J.), Brooklyn; and Albert Einstein College of Medicine (C.T.D., A.L., E.R.L., S.M., E.C., S.H.R., S.H.T., J.M., M.E.S.J.), Bronx, New York.

Background: During the coronavirus disease 2019 pandemic, New York instituted a statewide stay-at-home mandate to lower viral transmission. While public health guidelines advised continued provision of timely care for patients, disruption of safety-net health care and public fear have been proposed to be related to indirect deaths because of delays in presentation. We hypothesized that admissions for emergency general surgery (EGS) diagnoses would decrease during the pandemic and that mortality for these patients would increase. Read More

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The effect of prolonged antibiotics on postoperative complications for common bile duct stones: A post hoc analysis of an EAST multicenter study.

J Trauma Acute Care Surg 2021 Jul;91(1):234-240

From the Department of Surgery (B.M.T.), The Ohio State University Wexner Medical Center, Columbus, Ohio; Department of Surgery (C.W.P.), Emory University School of Medicine; Division of Acute Care Surgery (C.W.P., R.B.G.), Grady Memorial Hospital, Atlanta, Georgia; Department of Surgery (D.M.T., K.Y.), Geisinger Medical Center, Danville, Pennsylvania; Department of Surgery (J.M.S., D.P.K.), Ascension St. Vincent Hospital, Indianapolis, Indiana; Department of Trauma, Critical Care, and General Surgery (M.D.Z., M.C.), Mayo Clinic, Rochester, Minnesota; Department of Surgery (D.D.Y.), Jackson Memorial Hospital-University of Miami Health System, Miami, Florida; and Division of Acute Care Surgery (R.B.G.), University of Alabama at Birmingham, Birmingham, Alabama.

Background: Antimicrobial guidance for common bile duct (CBD) stones is limited. We sought to examine the effect of antibiotic duration on infectious complications in patients with choledocholithiasis and/or gallstone pancreatitis.

Methods: We performed a post hoc analysis of a prospective, observational, multicenter study of patients undergoing same admission cholecystectomy for choledocholithiasis and gallstone pancreatitis between 2016 and 2019. Read More

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Acute myeloid leukemia with hepatic infiltration presenting as obstructive jaundice.

Leuk Res Rep 2021 24;15:100251. Epub 2021 May 24.

Geisel School of Medicine at Dartmouth, Hanover, NH, USA.

We present the case of a 55-year-old woman who presented with laboratory studies concerning for acute myeloid leukemia (AML) as well as obstructive cholestasis. In similar previously reported cases, concerns of chemotherapy toxicity exacerbated by liver dysfunction or concerns of untreated, concurrent cholecystitis in a neutropenic patient often delay initiation of chemotherapy for full medical workup. At admission, our patient was started on the cytoreductive agent hydroxyurea. Read More

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The deceitful diagnosis of gallbladder volvulus: A case report.

Int J Surg Case Rep 2021 Jun 11;84:106114. Epub 2021 Jun 11.

Anaesthesiology and Reanimation Department, Jendouba Hospital, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Introduction And Importance: The gallbladder volvulus is a rare but life-threatening condition characterized by an axial torsion of the gallbladder along the cystic pedicle, causing gallbladder ischemia and necrosis. This paper aims to present and discuss a rare case of gallbladder volvulus. This case report has been reported in line with the SCARE criteria 2020 [1]. Read More

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The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events.

J Hepatobiliary Pancreat Sci 2021 Jun 15. Epub 2021 Jun 15.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.

Background: The incidence of biliary events (BE) following percutaneous cholecystostomy (PC) in acute cholecystitis (AC) patients is high. Therefore, definitive laparoscopic cholecystectomy (LC) is recommended. We aimed to investigate the optimal timing of LC following PC with regard to the clinical course and pathological findings. Read More

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A Curious Case of Acute Acalculous Cholecystitis.

Cureus 2021 May 10;13(5):e14948. Epub 2021 May 10.

Internal Medicine, University of California Los Angeles, Los Angeles, USA.

Acute acalculous cholecystitis is inflammation of the gallbladder without any evidence of gallstones. Although acalculous cholecystitis is less common than its calculous counterpart, it can be fatal if not treated. It is essential to rule out the cause of acalculous cholecystitis to aid in the treatment and management of the patient. Read More

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Gastric outlet obstruction - looking for a syndrome: Bouveret or Mirizzi?

Int J Surg Case Rep 2021 Jun 8;84:106098. Epub 2021 Jun 8.

Department of Digestive Surgery, Sacred Heart Hospital, Beirut, Lebanon.

Introduction And Importance: Gastric outlet obstruction can result from any pathological process that causes intrinsic blockage or extrinsic pressure on the distal stomach and duodenum. Gallstone related gastric outlet obstruction is a well-known entity classically due to a cholecystoenteric fistula formation.

Case Presentation: We present here a case of a 36-year-old man who presented with right upper quadrant abdominal pain associated with marked nausea and vomiting. Read More

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A Fast-track Pathway for Emergency General Surgery at an Academic Medical Center.

J Surg Res 2021 Jun 8;267:1-8. Epub 2021 Jun 8.

Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address:

Background: Fast Track Pathways (FTP) directed at reducing length of stay (LOS) and overall costs are being increasingly implemented for emergency surgeries. The purpose of this study is to evaluate implementation of a FTP for Emergency General Surgery (EGS) at an academic medical center (AMC).

Methods: The study included 165 patients at an AMC between 2016 and 2018 who underwent laparoscopic appendectomy (LA), laparoscopic cholecystectomy (LC), or laparoscopic inguinal hernia repair (LI). Read More

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Systematic review and meta-analyses of cholecystectomy as a treatment of biliary hyperkinesia.

Clin J Gastroenterol 2021 Jun 11. Epub 2021 Jun 11.

Consultant Upper GI Surgeon, North Cumbria University Hospitals NHS Trust, Carlisle, UK.

Biliary hyperkinesia is typically diagnosed in patients with biliary-like pain and no evidence of gall stones on imaging modalities but who have had biliary scintigraphy scan (HIDA) that shows ejection fraction ≥ 80%. This study aims to identify whether the removal of the gall bladder can alleviate the symptoms associated with biliary hyperkinesia. Systematic search following PRISMA guidelines was done from inception to January 2020 using PubMed/Medline, OVID, Embase, Cochrane database of systemic reviews, Cochrane central register of controlled trials, The Database of Abstracts of Reviews of Effects (DARE) and Cochrane library databases. Read More

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Differential diagnosis of the association of gastrointestinal symptoms and ST segment elevation, in the absence of chest pain.

Oscar M P Jolobe

Am J Emerg Med 2021 Jun 4;49:137-141. Epub 2021 Jun 4.

British Medical Association, Flat 6 Souchay Court, 1 Clothorn Road, Manchester M20 6BR, United Kingdom. Electronic address:

This is a review of the underlying causes of the association of ST segment elevation and gastrointestinal symptoms such as abdominal pain, nausea, vomiting, and anorexia, in patients who do not have chest pain. The review was based on anecdotal reports in Googlescholar and Pubmed using the search terms, abdominal pain, nausea, vomiting, anorexia, ST elevation, myocardial infarction, and Takotsubo cardiomyopathy. Those patients who did not have acute myocardial infarction as the cause of the association of ST segment elevation and gastrointestinal symptoms were compared with counterparts with similar symptoms who had well authenticated acute myocardial infarction or Takotsubo cardiomyopathy as the underlying cause of ST segment elevation. Read More

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Complications of cholecystitis: a comprehensive contemporary imaging review.

Emerg Radiol 2021 Jun 10. Epub 2021 Jun 10.

Department of Radiology, Emory University Hospital, Atlanta, GA, USA.

Acute cholecystitis is a common cause of right upper quadrant pain in patients presenting to the emergency department. Ultrasound, computed tomography, HIDA scans, and magnetic resonance imaging are increasingly utilized to evaluate suspected cases. The prognosis of acute cholecystitis is usually excellent with timely diagnosis and management. Read More

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Early laparoscopic cholecystectomy for acute cholecystitis is safe regardless of timing.

Langenbecks Arch Surg 2021 Jun 9. Epub 2021 Jun 9.

Department of Surgery, Herlev Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.

Purpose: The optimal timing for laparoscopic cholecystectomy for acute cholecystitis (AC) has not been resolved. In the revised Tokyo Guidelines from 2018 (TG18), early laparoscopic cholecystectomy (ELC) is recommended regardless of the duration of symptoms. The aim of this study was to evaluate the safety of ELC compared with delayed laparoscopic cholecystectomy (DLC) for AC. Read More

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Predictors of same-admission cholecystectomy in mild, acute, biliary pancreatitis.

HPB (Oxford) 2021 Apr 20. Epub 2021 Apr 20.

Department of Surgery, Saint Agnes Healthcare, Baltimore, MD, USA.

Background: Failure to perform same-admission cholecystectomy (SA-CCY) for mild, acute, biliary pancreatitis (MABP) is a recognized risk factor for recurrence and readmission. However, rates of SA-CCY are low and factors associated with these low rates require elucidation.

Methods: Primary MAPB admissions were pooled from NIS 2000-2014 (weighted n = 578 258). Read More

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Clinical implication of bactibilia in moderate to severe acute cholecystitis undergone cholecystostomy following cholecystectomy.

Sci Rep 2021 Jun 4;11(1):11864. Epub 2021 Jun 4.

Department of Surgery, Yeoiudo St. Mary's Hospital, The Catholic University of Korea College of Medicine, #10,63-ro,Yeongdengpo-gu, Seoul, 07345, South Korea.

There is little evidence of clinical outcome in using antibiotics during the perioperative phase of acute cholecystitis with bactibilia. The aim of current study is to examine the effect of bactibilia on patients with acute cholecystitis and their perioperative clinical outcome. We performed a retrospective cohort analysis of 128 patients who underwent cholecystectomy for acute cholecystitis with moderate and severe grade. Read More

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Acute acalculous cholecystitis as the initial manifestation of systemic lupus erythematous: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26238

Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Rationale: Acute acalculous cholecystitis (AAC) is an extremely rare manifestation of systemic lupus erythematous (SLE). In previous reports, most of the patients were already diagnosed cases of SLE upon confirmation of AAC.

Patient Concerns: A 24-year-old female who initially presented with fever and acute right upper quadrant abdominal pain. Read More

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Ultrasonographic Measurements of the Liver, Gallbladder Wall Thickness, Inferior Vena Cava, Portal Vein and Pancreas in an Urban Region, Malaysia.

J Med Ultrasound 2021 Jan-Mar;29(1):26-31. Epub 2020 Oct 1.

Department of Imaging, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia.

Background: Ultrasonographic (USG) measurements of the liver length, gallbladder wall thickness (GBWT), diameters of the inferior vena cava (IVC), portal vein (PV), and pancreas are valuable and reliable in diagnosis hepatobiliary and pancreas conditions. This study is aimed to determine the normal values of liver length, GBWT, AP diameters of the IVC and PV, AP diameter of the head and body of the pancreas.

Methods: A prospective cross-sectional study was carried out in this study. Read More

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October 2020

A retrospective evaluation of point of care ultrasound for acute cholecystitis in a tertiary academic hospital setting.

Ultrasound J 2021 Jun 3;13(1):28. Epub 2021 Jun 3.

Department of Emergency Medicine, Virginia Commonwealth School of Medicine, Main Hospital 2nd floor, room 606, Suite 600, 1250 East Marshal St, PO BOX 980401, Richmond, VA, 23298-0401, USA.

Background: In 2008 the Council of Emergency Medicine Residency Directors delineated consensus recommendations for training in biliary ultrasound for the "detection of biliary pathology".

Objectives: While studies have looked at the accuracy of emergency provider performed clinical ultrasound (ECUS), we sought to evaluated if ECUS could be diagnostic for acute cholecystitis and thus obviate the need for follow-up imaging.

Method: We reviewed all ECUS performed between 2012 and 2017 that had a matching radiology performed ultrasound (RADUS) and a discharge diagnosis. Read More

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Elevated Right Hemidiaphragm: A Clue in Acute Cholecystitis?

Cureus 2021 Apr 20;13(4):e14571. Epub 2021 Apr 20.

Department of Hepato-Pancreato-Biliary and Transplant Surgery, Singapore General Hospital, Singapore, SGP.

Two patients presented to the Emergency Department with sepsis and vague localising complaints. Both of them had a new elevation of the right hemidiaphragm on chest radiography and were eventually diagnosed with complicated acute cholecystitis on CT imaging. In both cases, the hemidiaphragmatic elevation could not be explained by mass effect as there was no sizable intra-abdominal collection. Read More

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Metastatic occult breast carcinoma to gallbladder initially presenting as acute cholecystitis.

Kadri Altundag

J BUON 2021 Mar-Apr;26(2):634

MKA Breast Cancer Clinic, Tepe Prime, Cankaya, 06800 Ankara, Turkey.

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Patterns of care after cholecystostomy tube placement.

Surg Endosc 2021 Jun 2. Epub 2021 Jun 2.

Department of Surgery, Surgical Outcomes Research Center, University of Washington, 1107 NE 45th Street, Suite 502, UW Box 354808, Seattle, WA, 98105, USA.

Background: The use of cholecystostomy (c-tube) in acute cholecystitis (AC) has increased yet there is limited evidence to guide surgical decision-making after placement. As a result, there is variability in the use and timing of cholecystectomy after c-tube. We aimed to describe patient characteristics, outcomes, and biliary-related utilization in those who did and did not have cholecystectomy after c-tube. Read More

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A safe sequential treatment approach for patients who have acute cholecystitis with severe inflammation: Transmural gallbladder drainage followed by laparoscopic cholecystectomy under the guidance of fluorescence imaging.

Asian J Endosc Surg 2021 May 30. Epub 2021 May 30.

Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.

Introduction: For patients who have acute severe cholecystitis, urgent/early biliary drainage followed by delayed/elective laparoscopic cholecystectomy is recommended according to the Tokyo Guidelines 2018. Percutaneous transhepatic gallbladder drainage is an established technique. Recently, transmural gallbladder drainage under the guidance of endoscopic ultrasonography (EUS-GBD) was reported as a safe alternative. Read More

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The Impact of a Dedicated "Hot List" on the In-Patient Management of Patients With Acute Gallstone-Related Disease.

Front Surg 2021 13;8:643077. Epub 2021 May 13.

Regional Hepato-Pancreato-Biliary Service, Manchester Royal Infirmary, Manchester, United Kingdom.

Index admission laparoscopic cholecystectomy is the standard of care for patients admitted to hospital with symptomatic acute cholecystitis. The same standard applies to patients suffering with mild acute biliary pancreatitis. Operating theatre capacity can be a significant constraint to same admission surgery. Read More

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Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis using Two Gallbladder Stents (Dual Gallbladder Stenting).

Clin Endosc 2021 May 31. Epub 2021 May 31.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of New Mexico, NM, USA.

Background/aims: Endoscopic transpapillary gallbladder drainage (ETPGBD) is gaining popularity for the management of acute cholecystitis (AC) in high-risk patients. However, the stents placed during the procedure are not immune to obstruction. Here we describe a novel technique of stenting with two transpapillary stents and evaluate its technical feasibility, safety, and efficacy in AC. Read More

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Torsion of suprahepatic gall bladder.

J Minim Access Surg 2021 Apr 24. Epub 2021 Apr 24.

Department of Surgery, Gumi CHA Medical Center, CHA University, Gumi, Republic of Korea.

Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Read More

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First case report of acute cholangitis secondary to Cronobacter sakazakii.

BMC Infect Dis 2021 May 27;21(1):493. Epub 2021 May 27.

King Edward Medical University, Lahore, 54000, Pakistan.

Introduction: Cronobacter sakazakii is an opportunistic Gram-negative, rod-shaped bacterium which may be a causative agent of meningitis in premature infants and enterocolitis and bacteremia in neonates and adults. While there have been multiple cases of C. sakazakii infections, there have been no acute cholangitis cases reported in humans. Read More

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Fetal intracranial hemorrhage associated with maternal coagulopathy and vitamin K deficiency after biliary drain placement: A case report and literature review.

Case Rep Womens Health 2021 Jul 20;31:e00329. Epub 2021 May 20.

Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.

Introduction: Fetal intracranial hemorrhage (ICH) is a rare but serious prenatal diagnosis. Predisposing factors include maternal trauma and fetal coagulation dysfunction. Maternal vitamin K deficiency has been described as an etiology. Read More

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Primary duodenal tuberculosis complicated with perforation: A review of literature and case report.

Ann Med Surg (Lond) 2021 Jun 12;66:102392. Epub 2021 May 12.

Department of Digestive Surgery 'A', La Rabta Hospital University, Faculty of Medicine of Tunis, Tunisia.

Tuberculous (TB) disease remains an endemic pathology in Tunisia. the ileocecal region is the predominant site of involvement while gastroduodenal tuberculosis is very rare, this form is often presenting as one of the complications, mainly upper gastrointestinal stenosis or exceptionally as a perforation. We describe a case of female patient aged 33 years-old presented with a 2-day history of acute abdominal pain, with a tenderness of the right hypochondrium and the epigastrium, ultrasound of the abdomen revealed gallbladder distension with a wall thickening. Read More

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Acute portal vein thrombosis in mild cholecystitis. A consequence of coronavirus disease 2019 infection?

Cir Cir 2021 ;89(3):399-402

Department of General Surgery and Digestive System, Hospital QuirónSalud Sur, Alcorcón. Madrid, Spain.

La infección por el virus SARS-CoV-2 provoca, además de cuadros respiratorios graves, episodios trombóticos en múltiples localizaciones debido a una mala regulación de la respuesta inmune. Presentamos el caso de un paciente con colecistitis incipiente que desarrolló trombosis portal aguda sin ningún otro antecedente salvo haber pasado de forma asintomática una infección por COVID-19. Dado que esta complicación es extremadamente infrecuente en pacientes sin factores predisponentes ni infecciones graves, consideramos que la infección por COVID-19 pudo ser un factor desencadenante de la trombosis portal y debemos de tenerlo en cuenta de cara al manejo y tratamiento de futuros casos similares. Read More

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How correct is the postponed cholecystectomy during the coronavirus disease-19 pandemic process? Gallstone ileus is not a myth anymore.

Cir Cir 2021 ;89(3):390-393

Department of General Surgery, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey.

Posponer cirugías electivas durante el proceso pandémico de Covid-19 aumentó el riesgo de complicaciones graves de enfermedades benignas. El íleo biliar es una de las raras complicaciones de la colelitiasis (0,3-0,5%). Los episodios recurrentes de colecistitis aguda están involucrados en la fisiopatología. Read More

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