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Emerg Microbes Infect 2021 Dec;10(1):81-96

Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.

species are wood-inhabiting fungi and emerging opportunistic pathogens causing phaeohyphomycosis. In this study, we isolated a dematiaceous fungus, HKU44, from the subhepatic abscess pus and drain fluids of a liver transplant recipient with post-transplant biliary and hepatico-jejunostomy bypass strictures. Histology of the abscess wall biopsy showed abundant fungal hyphae. Read More

Acta Gastroenterol Belg 2020 Jul-Sep;83(3):488-490

PGY-4 Resident of Internal Medicine, Department of Internal Medicine, Urmia University of medical Sciences, Urmia, Iran.

Background: Biliary system ascariasis can be a rare cause of acute abdomen.

Patient Report: A 70-year-old woman presented with abdominal pain for two weeks. She complained of a right upper quadrant (RUQ) pain, intermittent vomiting and weight loss. Read More

J Gastrointest Surg 2021 03 29;25(3):708-712. Epub 2020 Jul 29.

Department of General, Visceral, and Transplant Surgery, University Medical Center Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.

Background: Bilio-enteric diversion is the current surgical standard in patients after deceased donor liver transplantation (DDLT) with a biliary anastomotic stricture failing interventional treatment and requiring surgical repair. In contrast to this routine, the aim of this study was to show the feasibility and safety of a duct-to-duct biliary reconstruction.

Patients: Between 2012 and 2019, we performed a total of 308 DDLT in 292 adult patients. Read More

Surg Endosc 2020 07 5;34(7):3216-3222. Epub 2019 Sep 5.

Division of Minimally Invasive and Bariatric Surgery, Department of General Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, H149, Hershey, PA, 17033, USA.

Introduction: For patients with a gallbladder in situ, choledocholithiasis is a common presenting symptom. Both two-session endoscopic retrograde cholangiopancreatography (ERCP) and subsequent cholecystectomy (CCY) and single-stage (simultaneous CCY/ERCP) have been described. We utilize an antegrade wire, rendezvous cannulation (AWRC) technique to facilitate ERCP during CCY. Read More

Eur J Case Rep Intern Med 2019 17;6(7):001181. Epub 2019 Jul 17.

Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.

Disease in atypical organ locations can mimic other pathologies, hampering the right diagnosis. Such conditions may even be emergencies, like appendicitis. Subhepatic appendix is a very rare entity which may be caused by caecum dehiscence failure. Read More

Updates Surg 2019 Jun 3;71(2):247-254. Epub 2019 Apr 3.

Department of Surgery, Sapienza University of Rome-Polo Pontino, Via Firenze, 04019, Terracina, Italy.

In the literature, there is a large evidence against the use of drains in laparoscopic cholecystectomy (LC) in elective surgery. However, evidence is lacking in the setting of acute cholecystitis (AC). The present meta-analysis was performed to assess the role of drains to reduce complications and improve recovery in LC for AC. Read More

J Glob Infect Dis 2019 Jan-Mar;11(1):47-49

Department of Infectious Diseases, Stony Brook University, School of Medicine, Stony Brook, New York, USA.

Spilled gallstones during laparoscopic cholecystectomy (LC) are common. Lost gallstones can lead to complications such as intra-abdominal abscesses, which can occur days, months, or even years after the procedure. belongs to the family of Enterobacteriaceae. Read More

Int J Med Robot 2019 Jun 10;15(3):e1992. Epub 2019 Mar 10.

Oncologic Surgery Departments, Maria Sklodowska-Curie Memorial Institute of Oncology, Cancer Centre, Kraków, Poland.

Background: Bile duct injury after cholecystectomy can be a life-threatening complication. Use of robotic approach to manage a complex biliary injury is in an early phase.

Methods: We have performed an analysis of our prospectively maintained database that included 12 patients who underwent robotic-assisted repair of bile duct injury after laparoscopic cholecystectomy between 2014 and 2017. Read More

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

Gan To Kagaku Ryoho 2018 Mar;45(3):449-453

Division of Surgery, Bellland General Hospital.

A 69-year-old man with right upper quadrant abdominal pain and fever was referred to our hospital. He had a history of asbestosis exposure. Computed tomography(CT)revealed a mass at the right subhepatic space, and an antibiotic was administered after a diagnosis of an abdominal abscess. Read More

Acta Chir Belg 2018 Jun 6;118(3):196-198. Epub 2017 Jul 6.

b Department of Emergency and Traumatology , Geel , Belgium.

Background: A 72-year-old female patient with a history of laparoscopic cholecystectomy presented at the gastroenterology consultation with intermittent complaints of abdominal pain since two months in the right hemi abdomen.

Methods: Imaging discovered a subhepatic abscess. Explorative surgery showed multiple gallstones as the cause of the abscess. Read More

Ann Med Surg (Lond) 2016 Dec 25;12:106-108. Epub 2016 Nov 25.

Department of General Surgery, Ar Rayan Hospital, Dr Sulaiman Al Habib Medical Group, PO Box 100266, Riyadh, Saudi Arabia.

Introduction: Spontaneous cholecystocutaneous abscess is an extremely uncommon complication of acute suppurative cholecystitis. Over the past century very few cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We, here, report a case of abdominal wall abscess secondary to cholecystocutaneous fistula. Read More

Respir Investig 2016 Sep 24;54(5):364-8. Epub 2016 May 24.

Kyorin University School of Medicine, Department of Respiratory Medicine, Mitaka, Tokyo, Japan.

Background: Bilious pleural effusion is an extremely rare condition associated with liver diseases, subphrenic or subhepatic abscess formation, biliary peritonitis, and invasive procedures (i.e., percutaneous biliary drainage or liver biopsy). Read More

Z Gastroenterol 2016 Jul 18;54(7):634-41. Epub 2016 Jul 18.

Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Magdeburg A.ö.R., Magdeburg, Germany.

Purpose: In hepatic resections, there has been a high quality demand. The aim of this systematic clinical, prospective, unblinded unicenter observational study with two arms in an unselected patient cohort was to investigate whether hemostat device can significantly improve outcome in resective liver surgery, in particular, in high risk patients.

Methods: All consecutive patients (mean age, 60. Read More

Pol Przegl Chir 2016 Jan;88(1):20-5

Unlabelled: The aim of the study was to present early outcomes of liver resection using laparoscopic technique.

Material And Methods: Retrospective analysis of patients who underwent liver resection using laparoscopic method was conducted. The analyzed group included 23 patients (11 women and 12 men). Read More

Chirurgia (Bucur) 2016 Jan-Feb;111(1):67-70

Background: Gallbladder perforation with gallstone spillage during laparoscopic cholecystectomy is usually an event with no consequences.

Case Report: We report the case of a 66 year-old female admitted in our hospital with severe large abscess in the right lumbar region. Her medical history reveals a laparoscopic cholecystectomy for acute gallstone cholecystitis. Read More

Pediatr Emerg Care 2016 Feb;32(2):93-4

From the Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ.

Pylorospasm can present with sonographic findings similar to hypertrophic pyloric stenosis. We present a rare case of methicillin-resistant Staphylococcus aureus subhepatic abscess causing pylorospasm in a neonate. Read More

ACG Case Rep J 2015 Jan 16;2(2):113-5. Epub 2015 Jan 16.

Department of Internal Medicine, John H. Stroger Hospital of Cook County, Chicago, IL ; Department of Internal Medicine, Rush University Medical Center, Chicago, IL.

We present a case of a large, sterile, subhepatic abdominal wall abscess secondary to foreign body reaction to dropped gallstones during laparoscopic cholecystectomy performed 10 years ago. Dropped gallstones are common complications of laparoscopic cholecystectomy, but they rarely result in abscess formation. When abscesses do occur, they may present a few months to a few years after surgery. Read More

Surg Endosc 2016 Feb 20;30(2):526-531. Epub 2015 Jun 20.

Department of Digestive Surgery, Nagoya Daini Red Cross Hospital, 2-9 Myoken-cho, Showa-ku, Nagoya, 466-8650, Japan.

Background: The concept of laparoscopic subtotal cholecystectomy (LSC), without approaching Calot's triangle to avoid both laparotomy and serious complications, is not widely accepted. In this study, we evaluated the outcomes of LSC for severe cholecystitis when dissection of the cystic duct and cystic artery is hazardous.

Methods: From January 2004 to December 2013, 110 consecutive patients who underwent LSC without ligation of the cystic duct and vessels were enrolled in this retrospective study. Read More

Trop Doct 2015 Oct 29;45(4):241-4. Epub 2015 Mar 29.

Specialist, Department of Clinical Imaging, Hamad Medical Corporation, Doha, Qatar.

The subhepatic position of an appendix may lead to difficulty in diagnosis of appendicitis, its surgical management as well as bizarre complications. A 'lost' appendicular faecolith is not an uncommon complication due to spillage during the removal of the appendix or due to perforation. Here we report a case of such a faecolith migrating into the liver parenchyma following intraoperative hepatic injury, and producing a liver abscess. Read More

Surg Endosc 2015 Feb;29(2):453-7

Background: Routine drainage of the abdominal cavity after surgery has been a robust dogma for many decades. Nevertheless, the policy of routine abdominal drainage is increasingly questioned. Many surgeons believe that routine drainage after surgery may prevent postoperative intra-abdominal infection. Read More

Int J Surg Case Rep 2014 22;5(7):437-9. Epub 2014 May 22.

Department of Surgery, Northwick Park Hospital, Watford Road, Harrow HA1 3UJ, UK.

Introduction: Foreign body ingestion rarely causes complications, though it can pose a significant diagnostic challenge. Perforation, particularly of more muscular viscera, can present insidiously with a wide range of differential diagnoses.

Presentation Of Case: Here we present a case of 75 year-old woman presenting with chest and epigastric pain. Read More

J Med Case Rep 2013 Nov 11;7:257. Epub 2013 Nov 11.

Department of Radiology, University 'Federico II', Via S, Pansini 5, 80131 Naples, Italy.

Introduction: Peptic ulcer disease is still the major cause of gastrointestinal perforation despite major improvements in both diagnostic and therapeutic strategies. While the diagnosis of a perforated ulcer is straightforward in typical cases, its clinical onset may be subtle because of comorbidities and/or concurrent therapies.

Case Presentation: We report the case of a 53-year-old Caucasian man with a history of chronic myeloid leukemia on maintenance therapy (100mg/day) with imatinib who was found to have a subphrenic abscess resulting from a perforated duodenal ulcer that had been clinically overlooked. Read More

Acta Clin Belg 2013 Jan-Feb;68(1):62-4

Kyrenia Military Hospital, Department of Infectious Diseases and Clinical Microbiology Kyrenia, North Cyprus, Turkey.

Rhodotorula glutinis is a rare fungal infection that is especially observed in immune-compromised patients. It is common in the skin, faeces, nails, sputum, gastrointestinal system and adenoid tissue. However, the incidence of Rhodotorula glutinis is increased in both local and systemic infections in recent years. Read More

Korean J Hepatobiliary Pancreat Surg 2013 May 31;17(2):66-9. Epub 2013 May 31.

Department of Surgery, Sanbon Hospital, Wonkwang University, Gunpo, Korea.

Backgrounds/aims: The fate of gallstones that remain in the peritoneal cavity due to perforation of the gallbladder during laparoscopic cholecystectomy (LC) has been studied vigilantly since the early 1990s when this surgical procedure started to be used. But the complication statistics vary with each report. So we reviewed our 47 cases of lost stones that were traceable from 1998 to 2007. Read More

J Med Life 2012 Sep 25;5(3):335-41. Epub 2012 Sep 25.

Clinical Emergency Hospital, Bucharest, Romania.

Gallstone ileus represents a rare complication (0,3-0,5%) of a serious, but common disease-gallstones, which affect around 10% of the population in the USA and Western Europe. Associated diseases (usually severe), elderly patients, delayed diagnosis and therapy due to late presentation to the hospital, account for the morbidity and mortality rates described in literature. We present the case of a patient with partial colon obstruction due to a large gallstone that was "lost" during an emergency laparoscopic cholecystectomy. Read More

Int J Surg Case Rep 2012 29;3(12):611-3. Epub 2012 Aug 29.

Department of Vascular Surgery, Staten Island University Hospital, 256 Mason Ave, Building B, Staten Island, NY 10305, USA.

Introduction: With the advent of laparoscopic cholecystectomy we have seen a "disease of medical progress" (DOMP). Herein we report a complication that developed 7 years after laparoscopic cholecystectomy.

Presentation Of Case: A 42 year old woman presented with worsening right-sided pain and tenderness. Read More

Rev Med Inst Mex Seguro Soc 2011 May-Jun;49(3):301-6

Hospital General Regional 36, Instituto Mexicano del Seguro Social, Puebla, México.

Objective: to report the outcome of conservative treatment in patients with bile lake (BL) after of laparoscopic cholecystectomy, using basic diagnosis methods and clinic monitoring.

Methods: six hundred and fifty eight patients underwent laparoscopic cholecystectomy. They were evaluated according to their medical history, hepatic function panel, amylase, gallbladder and bile ducts ultrasonographic pattern. Read More

Updates Surg 2012 Mar 27;64(1):73-6. Epub 2011 May 27.

Department of Surgical and Gastroenterological Sciences, University of Padua, Padua, Italy.

Lymphangiomas are rare benign neoplasms of the lymphatic tissue generally occurring in the childhood. Cystic lymphangioma of the gallbladder is an extremely rare tumor with only eight cases having been reported in the literature. The aspecific and potentially misleading clinical presentation of these tumors requires complex preoperative imaging in the setting of clinical suspicion to make the correct diagnosis. Read More

Klin Khir 2009 Nov-Dec(11-12):106-10

In 2002-2008 yrs 85 patients were treated for abdominal cavity abscess (ACA). Hepatic abscess was revealed in 41 (33.6%) patients, subhepatic one--in 14 (16. Read More