Introduction/Objective. Gilbert syndrome (GS) is the most common hereditary hyperbilirubinemia. As well as mild unconjugated hyperbilirubinemia, it characterized by excess of bilirubin monoglucuronide over diglucuronide in bile and thus increases risk biliary calculosis. The aim study was to determine importance GS a factor development cholelithiasis children. Methods. included sample 31 childr...

Situs inversus totalis (SIT) is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT and multiple stones ...

Primary hyperparathyroidism (PHPT) due to parathyroid adenoma is the most common cause of hypercalcemia, which is characterized by high parathyroid hormone (PTH) level despite elevated serum calcium levels [1]. With the advent of autoanalyzer and serum calcium is a part of routine screening in West. The presentation of PHPT is asymptomatic and hence, attention has been diverted to the features ...

Evidence-Based Answer Surgery should not be offered to patients with asymptomatic cholelithiasis. (Strength of Recommendation [SOR]: C, based on decision analysis, observational studies, and expert opinion.) Cholecystectomy may be beneficial for patients who are at high risk of biliary cancer, infection, or other complications, including younger patients and those with choledocholithiasis, sick...

Gall bladder cancer is one of five most common malignancies of the gastro-intestinal tract. Most of the cancers are detected during histological examination after cholecystectomy. Females are more commonly affected than males with a ratio of 4:1. A direct association exists between the presence of cholelithiasis and the development of gall bladder carcinoma. In patients with gall bladder carcin...

Adenomyomatosis of the gallbladder is a benign and degenerative condition of the gallbladder. It is an incidental finding in gall bladder specimens resected for chronic cholecystitis or cholelithiasis. It frequently occurs after 3rd or 4th decade of life and is often an incidental finding in cholecystectomy specimens resected for chronic cholecystitis or cholelithiasis. Patients with adenomyoma...

STUDY OBJECTIVE To determine the ability of emergency department (ED) physicians to diagnose cholelithiasis with bedside ultrasound. METHODS ED gallbladder ultrasounds recorded over 37 months were compared to radiology ultrasound interpretation. RESULTS Of 1,690 ED gallbladder ultrasound scans performed during this period, radiology ultrasound was performed in 575/1690 (34%) cases. ED physi...

Laparoscopic cholecystectomy is a broadly used technique for gallbladder treatment. However, situs inversus, a rare anomaly, is reportedly difficult to treat by conventional laparoscopic cholecystectomy. A 36-year-old woman with chronic cholecystitis and multiple gallstones was found to have dextrocardia on a chest X-ray. Magnetic resonance imaging demonstrated situs inversus, cholecystitis, an...