A 77-year-old man presented in the Emergency Unit because of abdominal pain, jaundice, and dark urine. A soft and movable mass with mild tenderness located in the right upper abdominal quadrant was found in the physical exam. A transcutaneous abdominal ultrasound disclosed a gallbladder hydrops with early wall edema, without cholecystolithiasis (Fig. 1). It was due to a biliary obstruction caus...

Dilated bile duct is commonly seen in clinical practice and usually represents an obstructive lesion limiting the flow of bile. The evaluation of dilated bile duct is aimed to diagnose and treat the obstructive lesion. The clinical approach therefore requires (i) definition of normal limits of bile duct size (ii) predictive markers for obstruction & (iii) imaging modality for defining the level...

This retrospective consecutive case series aimed at comparing the results of intracytoplasmic sperm injection (ICSI) with fresh and with frozen-thawed epididymal spermatozoa obtained after microsurgical epididymal sperm aspiration (MESA) in 162 couples. These couples were suffering from infertility because of congenital bilateral absence of the vas deferens (n = 109), failed microsurgical rever...

1. A mucocele of the lacrimal sac, or 2. Chronic dacryocystitis or conjunctivitis due to lacrimal sac obstruction, or 3. Congenital nasolacrimal duct obstruction that cannot be cured by probing (members should be over 1 year of age), or 4. Epiphora (excessive tearing) due to acquired obstruction within the nasolacrimal sac and duct, or 5. Lacrimal sac infection that must be relieved before intr...

BACKGROUND Infertility affects ∼7% of all men. Despite much progress, mainly in genetics, its etiology remains obscure in ∼50% of cases. To fill this gap, imaging of the male genital tract (MGT) has progressively expanded, providing useful information in the assessment of MGT abnormalities. METHODS A critical, systematic review of the available literature was performed using Medline, with no ...

Seminal vesicular lithiasis or seminal vesicular and ejaculatory duct calculi or calcification are rarely encountered with very few cases reported in the literature. We aim to present and review the literature of one such case. A search of the published English literature revealed only 20 published case reports of seminal vesicle calculi, with only three attributed to large bilateral seminal ve...

PURPOSE To investigate a new method and its effect on the procedure of dilating the ejaculatory duct and flushing the seminal vesicle with an F9 seminal vesicle scope in patients with chronic and recurrent seminal vesiculitis. PATIENTS AND METHODS Twenty-six patients with a diagnosis based to signs, laboratory detection, digital rectal examination, and transrectal ultrasonography were involve...

PURPOSE To investigate whether capsaicin and carbachol promote secretion from and prevent duct obstruction in transplanted submandibular glands (SMGs). METHODS This retrospective cohort study included consecutive patients with severe keratoconjunctivitis sicca and successful SMG transplantation. Patients were divided into 2 groups: an exposed group receiving both capsaicin and carbachol after...

A 65-year-old Japanese male was referred to our hospital for evaluation of a main pancreatic duct obstruction. Two months previously, he had suffered an attack of acute pancreatitis that was resolved with conservative treatment. Dynamic contrast-enhanced study by multidetector row computed tomography revealed a well-enhanced 5 x 5 mm mass in the head of the pancreas with dilatation of the main ...

Tuberculosis of the gall bladder, a rarity in itself, is always found associated with gallstones or cystic duct obstruction. The present case of tuberculosis of the gall bladder is being reported for its extreme rarity as it was without associated gallstones or cystic duct obstruction.