327 results match your criteria gallstone causing


Diffuse Neuromatosis of Intrahepatic and Extrahepatic Bile Ducts as a Rare Cause of Jaundice.

Visc Med 2021 Jun 30;37(3):226-232. Epub 2020 Sep 30.

Department of Pathology, University Hospital Erlangen, Erlangen, Germany.

Background: Neuroma of the biliary tree is extremely rare with no more than 100 cases reported so far. They mostly present with obstructive jaundice and have been commonly described after surgery or abdominal trauma. Although involvement of the extrahepatic bile duct is far more common, occurrence in the intrahepatic ducts has not so far been reported. Read More

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Acute Pancreatitis with an Ongoing Pancreatic Duct Leak Complicated by Refractory Pleural Effusion: A Case Report.

Am J Case Rep 2021 Jun 11;22:e931330. Epub 2021 Jun 11.

Department of Gastroenterology, Community Memorial Health Systems, Ventura, CA, USA.

BACKGROUND Acute pancreatitis causes a significant systemic inflammatory response that affects multiple organs. Pulmonary complications include pleural effusions, hypoxia, atelectasis, and acute respiratory distress syndrome. Pleural effusion is an indicator of poor prognosis in pancreatitis. Read More

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Upper Gastrointestinal Bleeding: A Potential Precursor to Bouveret's Syndrome.

Cureus 2021 Apr 8;13(4):e14368. Epub 2021 Apr 8.

Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Bouveret's syndrome is a rare complication of cholelithiasis. It is characterized by a gallstone entering the intestine through a cholecystoenteric fistula, impacting the duodenum and causing gastric outlet obstruction. Rarely, it presents with hematemesis and melena. Read More

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Y-Shaped Vesica Fellea Duplex Gallbladder Causing Acute Biliary Pancreatitis.

Cureus 2021 Apr 25;13(4):e14676. Epub 2021 Apr 25.

Gastroenterology and Hepatology, University Hospitals of Morecambe Bay National Health Service Foundation Trust, Lancaster, GBR.

Gallbladder duplication refers to the splitting of "gallbladder primordium" during the early embryonic development in the fifth or early sixth week. Although it is a very rare congenital abnormality and most of the patients will be asymptomatic, yet the symptomatic cases present with abdominal complaints like nausea vomiting, abdominal pain leads to cholecystitis, cholangitis, biliary colic, or pancreatitis. Herein, we present a case report of duplication of the gallbladder, which was difficult to diagnose on radiology. Read More

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Gallstone Ileus Treated by Incidental Meckel's Diverticulectomy.

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

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A Rare Case of Cholecystoduodenal Fistula with Rapid Distal Gallstone Migration.

Am J Case Rep 2021 Apr 19;22:e929150. Epub 2021 Apr 19.

Department of General Surgery, Ascension Michigan Genesys Hospital, Grand Blanc, MI, USA.

BACKGROUND Abnormal communicating channels or fistulas between the gallbladder or common bile duct and the intestine are rare, but have potential to result in serious complications. Further complications can arise with migration of gallstones from the gallbladder to the intestines, causing distal obstruction in the ileum, intestinal hemorrhage, or intestinal perforation. High clinical suspicion is warranted for the diagnosis of Bouveret's syndrome, with anticipation of surgery to prevent distal gallstone migration that would otherwise result in unfavorable patient outcomes. Read More

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Percutaneous Transhepatic Cholangioscopy and Stone Extraction in a Patient with Recurrent Cholangitis Following Liver Trauma.

J Clin Imaging Sci 2021 25;11:11. Epub 2021 Feb 25.

Department of Radiology Tripler Army Medical Center, Hawaii, USA.

Percutaneous transhepatic cholangioscopy (PTCS) is a safe and effective treatment for obstructive biliary stones, when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful or unavailable. Once percutaneous access is gained into the biliary tree by an interventional radiologist, the biliary ducts can be directly visualized and any biliary stones can be managed with lithotripsy, mechanical fragmentation, and/or percutaneous extraction. We report a case of a 45-year-old man who sustained a traumatic liver laceration and associated bile duct injury, complicated by bile duct ectasia and intrahepatic biliary stone formation. Read More

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February 2021

Protocol for a randomised controlled trial comparing laparoscopic cholecystectomy with observation/conservative management for preventing recurrent symptoms and complications in adults with uncomplicated symptomatic gallstones (C-Gall trial).

BMJ Open 2021 03 25;11(3):e039781. Epub 2021 Mar 25.

Health Services Research Unit, University of Aberdeen Health Services Research Unit, Aberdeen, UK.

Background: Gallstone disease (cholelithiasis) is common. In most people it is asymptomatic and does not require treatment, but in about 20% it can become symptomatic, causing pain and other complications requiring medical attention and/or surgery. A proportion of symptomatic people with uncomplicated gallstone disease do not experience further episodes of pain and, therefore, could be treated conservatively. Read More

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Spilled stones following pyelolithotomy: An unusual mimic of peritoneal carcinomatosis.

Clin Imaging 2021 Sep 23;77:69-75. Epub 2021 Feb 23.

Department of Radiology, St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac 48076, MI, United States; Huron Valley Radiology, 5301 McAuley Drive, Ypsilanti 48197, MI, United States.

While spillage of intraperitoneal gallstones has been reported frequently in the literature, spilled renal stones after urologic intervention is rare. The dropped renal stones may mimic peritoneal carcinomatosis (PC) on imaging, causing concern and potentially leading to unnecessary diagnostic workup. Additionally, these dropped stones may cause surrounding inflammation, potentially leading to the formation of adhesions or an intra-abdominal abscess. Read More

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September 2021

Role of magnetic resonance imaging in Bouveret's syndrome: A case report with review of the literature.

Clin Imaging 2021 Sep 23;77:43-47. Epub 2021 Feb 23.

Department of Medical Imaging, University of Arizona, Tucson, AZ, USA.

Bouveret's syndrome is a rare form of gallstone ileus occurring due to obstructing gallstone into the proximal duodenum through a cholecystoduodenal fistula. We report the case of a 72-year-old female presenting with abdominal pain secondary to a large gallstone in the region of the duodenal bulb, causing the upstream gastric obstruction. Here we discuss the clinical features, imaging technologies, and surgical management of Bouveret's syndrome. Read More

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September 2021

The Rolling Stones: A case report of two surgical abdomens linked by migrating gallstones.

Int J Surg Case Rep 2021 Mar 18;80:105658. Epub 2021 Feb 18.

Radiology Department, St. James's Hospital, James's Street, Dublin 8, Ireland.

Introduction: Acute abdominal pain accounts for 5% of all presentations to the emergency department (Stoker et al., 2009). Two of the most common causes are acute appendicitis and acute cholecystitis (Ferris et al. Read More

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[Fitz-Hugh-Curtis syndrome can give pain under the right upper quadrant].

Ugeskr Laeger 2021 02;183(6)

Fitz-Hugh-Curtis syndrome is a complication to pelvic inflammatory disease causing perihepatitis as described in this case report. A 21-year-old woman was admitted to the hospital due to pain under the right upper quadrant and febrility. Gallstones and pyelonephritis were ruled out. Read More

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February 2021

Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic luminal laser lithotripsy: A case report.

World J Clin Cases 2020 Nov;8(22):5701-5706

Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA 17822, United States.

Background: Bouveret syndrome, also known as gallstone ileus, is a rare form of gastric outlet obstruction accounting for 1%-3% of cases. This condition is most often reported in females. The diagnosis can be challenging and is often missed due to atypical presentations, which occasionally mimic gastric outlet obstruction symptoms such as nausea, vomiting, loss of appetite and hematemesis. Read More

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November 2020

Iatrogenic Biliary Injury during Cholecystectomy: Critical Review of a Historical Case and Its Political Consequences.

Dig Surg 2021 16;38(2):91-103. Epub 2020 Dec 16.

Emeritus Professor of Surgery, Catholic University, Rome, Italy.

Biliary injuries during cholecystectomy represent serious adverse events that can have a profound impact on the patient's quality of life and on the surgeon's well-being and career. Sometimes, they can have an unexpectedly disastrous effect on the whole community, as demonstrated by the case of Anthony Eden, former foreign secretary and prime minister of Britain in the 1950s. Mr. Read More

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December 2020

Updates on the diagnosis and management of the most common hereditary porphyrias: AIP and EPP.

Hematology Am Soc Hematol Educ Program 2020 12;2020(1):400-410

University of Washington, Seattle, Washington.

The porphyrias are a family of metabolic disorders caused by defects in the activity of one of the enzymes in the heme biosynthetic pathway. Acute intermittent porphyria (AIP), caused by autosomal dominant mutations in the gene encoding hydroxymethylbilane synthase, can lead to hepatocyte overaccumulation and systemic distribution of the proximal porphyrin precursors, 5-aminolevulinic acid (ALA) and porphobilinogen (PBG). ALA and PBG are toxic to neurons and extrahepatic tissue and cause the neurovisceral clinical manifestations of AIP. Read More

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December 2020

A Rare Case of Gallstone Ileus: Bouveret Syndrome Presenting with Concurrent Gallstone Coleus.

Case Rep Surg 2020 7;2020:8844199. Epub 2020 Nov 7.

Department of General Surgery, The Canberra Hospital, Yamba Drive, Garran Australian Capital Territory 2605, Australia.

Background: Bouveret syndrome and gallstone coleus are two rare subsets of gallstone ileus. Bouveret syndrome involves a gastric outlet obstruction, whereas gallstone coleus involves an obstruction of the large intestine. Both of the conditions are caused by gallstones, which migrated from the gallbladder via the fistulae. Read More

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November 2020

Left-sided gallbladder (LSG) associated with true diverticulum, a case report.

AME Case Rep 2020 30;4:26. Epub 2020 Oct 30.

General Surgery Service at Getúlio Vargas Teaching Hospital (HUGV), Manaus, Amazonas, Brazil.

The left-sided gallbladder (LSG) is a rare type of anatomical variation (ectopia) defined by the location of the bladder to the left side of the liver falciform and round ligaments. Initially reported in 1886 by Hochstetter, the finding is usually accidental since it is mostly an asymptomatic condition, thus not causing the patient any harm and being few reported cases in the current literature. Surgical cases are most associated with gallstones such as presented in this case report. Read More

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October 2020

Gallstone ileus caused by a gallstone impacted at a cecum neoplasm - A case report.

Int J Surg Case Rep 2020 2;77:107-110. Epub 2020 Nov 2.

Department of General Surgery, North Alentejo Local Unit E.P.E., Portugal.

Background: Gallstone ileus is an infrequent complication of biliary disease that produces a mechanical intestinal obstruction. It is caused by a gallstone passing through a bilio-digestive communication, usually a cholecystoduodenal fistula. The presence of neoplasms can decrease the bowel lumen size and may cause the gallstone to impact at the narrowing site. Read More

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November 2020

Duodenal bulb obstruction caused by a gallstone (Bouveret syndrome) successfully treated with endoscopic measures.

Proc (Bayl Univ Med Cent) 2020 Jul 23;33(4):630-632. Epub 2020 Jul 23.

Department of Gastroenterology, State University of New York Upstate Medical University, Syracuse, New York.

Bouveret syndrome is the rarest variant of gallstone ileus, with a high morbidity and mortality rate as well as life-threatening complications. We present a case of an 86-year-old woman who presented with abdominal pain and was diagnosed with acute cholecystitis. After laparoscopic cholecystectomy, her symptoms did not improve. Read More

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Laparoscopic cholecystectomy in patients with portal cavernoma without portal vein decompression.

J Minim Access Surg 2021 Jul-Sep;17(3):351-355

Department of Hepato-Pancreato- Biliary Surgery, Institute of Liver and Biliary Sciences, New Delhi, India.

Introduction: Laparoscopic cholecystectomy (LC) in patients with extrahepatic portal vein obstruction causing portal cavernoma (PC) is considered high risk because of portosystemic collateral veins in the hepatocystic triangle. The literature is limited to isolated case reports. We describe our experience of LC in patients with PC. Read More

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September 2020

Unusual presentation of intussusception: Gallstone ileus.

Radiography (Lond) 2021 05 14;27(2):740-742. Epub 2020 Sep 14.

RWJBH - Saint Barnabas Medical Center, Livingston, NJ, 07039, USA.

Gallstone ileus is a rare pathology, occurring in an estimated 0.5% of cases, which preferentially affect females and the elderly population. This rare pathology is the result of a fistulous connection between the bowel and gallbladder. Read More

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Recurrent Acute Pancreatitis in a Patient with COVID-19 Infection.

Am J Case Rep 2020 Aug 24;21:e927076. Epub 2020 Aug 24.

Department of Internal Medicine, Long Island Community Hospital, Patchogue, NY, USA.

BACKGROUND The novel COVID-19 disease has infected more than 2 million people worldwide, causing more than 120 000 deaths. While the disease is known to primarily affect the respiratory system, gastrointestinal manifestations can also occur. However, little is known about the development of acute pancreatitis in COVID-19. Read More

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Laparoscopic Approach for Gallstone Ileus in Geriatric Patients.

Cureus 2020 Jun 15;12(6):e8642. Epub 2020 Jun 15.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

We report two patients who presented with small bowel obstruction secondary to gallstones in the ileum. Both patients were geriatric women with multiple comorbidities. The first patient was a 73-year-old woman who presented with a gallstone eroding and obstructing the duodenum (Bouveret's syndrome) secondary to gallbladder cancer with diffuse metastatic spread to the liver. Read More

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Is there a standard reaction of surgeons to surgical complications? Study on an interesting historical case.

Med Hypotheses 2020 Nov 19;144:110006. Epub 2020 Jun 19.

Consultant Colorectal and Emergency Surgeon, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, United Kingdom. Electronic address:

The surgeon has been recognised as the "second victim" of a surgical complication and the long term psychological impact of a surgical adverse event has been demonstrated. However, the immediate and early psychological response to a surgical complication has not been properly investigated. In this manuscript we analyse a well-known historical case of a surgical complication and discuss the early reaction of the surgeon. Read More

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November 2020

Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases.

Case Rep Crit Care 2020 2;2020:7653730. Epub 2020 Apr 2.

Department of Intensive Care, HabibBourguiba University Hospital, Sfax, Tunisia.

Acute pancreatitis (AP) is a real clinical challenge. Acute pancreatitis remains a common cause of emergency department consultations and a major cause for hospitalization. Gallstones and drinking a lot of alcohol are the most frequent causes of AP. Read More

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An Analysis of Epidemiology, Etiology, and Outcomes of Acute Pancreatitis in Renal Transplant Recipients.

Transplant Proc 2020 Apr 4;52(3):865-872. Epub 2020 Mar 4.

Department of Nephrology, SGPGI, Lucknow, Uttar Pradesh, India.

Background And Objectives: Acute pancreatitis after renal transplantation is seldom seen yet a dreadful complication. The causes include traditional causes and immunosuppressive medications and viral infections. Classical symptoms are not always present at onset, causing delay in diagnosis. Read More

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A right atrial myxoma presenting with misleading features of acalculous cholecystitis.

Oxf Med Case Reports 2020 Feb 28;2020(2):omaa012. Epub 2020 Feb 28.

Third Department of Internal Medicine, Evaggelismos General Hospital, Athens, Greece.

Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation). Read More

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February 2020

A rare complication of gallstones ended with spontaneous cholecystocutaneus fistula in an old man: A case report.

Int J Surg Case Rep 2020 23;67:42-44. Epub 2020 Jan 23.

Surgery Department, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria.

Introduction: Cholecystocutaneous fistula is an extremely rare complication of gallstones. The majority of the fistulae localize into the right upper quadrant of the abdomen. Diagnosis is not easy because the symptoms are nonspecific. Read More

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January 2020

Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management.

Euroasian J Hepatogastroenterol 2019 Jan-Jun;9(1):14-19

Department of Surgery, ESI Posgraduate Institute of Medical Science and Research and Hospital, New Delhi, India.

Introduction: Gallstone disease is one of the most common surgical diseases. Complications associated with cholelithiasis is not uncommon, but gallbladder perforation is a rare complication of acute cholecystitis with cholelithiasis. This gallbladder perforation may present in different ways like free perforation inside peritoneal cavity causing generalized peritonitis, localized collection around gallbladder fossa after perforation and in chronic cases cholecystoenteric fistula. Read More

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January 2020

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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January 2020