When access to a major duodenal papilla or endoscopic retrograde cholangiopancreatography has failed, percutaneous transhepatic cholangioscopic lithotripsy (PTCS-L) may be useful for removing common bile duct (CBD) stones. However, the feasibility and usefulness of percutaneous transhepatic papillary large-balloon dilation (PPLBD) during PTCS-L for the removal of large CBD stones has not been e...

BACKGROUND The purpose of this study was to evaluate the impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction (MI). METHODS Retrospective analysis of data from the case retrieval system of Qilu Hospital of Shandong University located in Jinan city of Shandong Province was done for patients with acute MI from January 1, 2011 to December...

is recommended for patients with unresectable hepatocellular carcinoma (HCC); however, it is not a risk-free procedure and biloma may occur as a complication [1]. A 45-year-old man, following liver transplantation, presented with recurrent HCC in the caudate lobe, close to the caval vein, and was treated by TACE. Subsequently, the patient was admitted for abdominal pain and fever. Computed tomo...

Totally implanted port devices play an important role in acute and chronic medical care of patients with various conditions and are widely used for infusion of fluids, medications, blood or other blood products, and for monitoring hemodynamic parameters. Embolization of a part of port devices is a rare but potentially serious complication of port catheter placement. We report distal embolizatio...

Laparoscopic cholecystectomy (LC) has become the ‘gold standard’ for symptomatic gallstones. Although the overall complication rate after LC is less than the traditional open approach, intra-abdominal abscesses following LC are rarely encountered. Also, intra-operative stone spillage and dropping of the surgical clips do occur. An abscess secondary to a dropped surgical clip is an uncommon even...

In the past several decades there has been a remarkable development of small-caliber, flexible ureteroscopes and various ancillary instruments for stone manipulation and retrieval. Percutaneous antegrade ureteroscopy can be substituted in select cases for retrograde ureteroscopy. We report a case of a 60-year-old man with severe ankylosis in both hip joints who was diagnosed with bilateral uret...

OBJECTIVE To report the successful percutaneous transcatheter removal of a snapped intracardiac fragment of the central vein catheter in an infant. CLINICAL PRESENTATION AND INTERVENTION A 3-month-old infant with short bowel syndrome who required long-term parenteral nutrition via portacath central catheter was hospitalized. Two months after the insertion of the second catheter, the distal ti...

BACKGROUND Percutaneous nephrolithotomy is a minimally invasive intervention for renal stone disease. Complications, which are rare and usually presented as case reports, are diversified as the utilization of the procedure is expanded. The procedure causes less blood loss and less morbidity when compared to open surgical procedures. Yet, there are some reports involving severe bleeding and rele...

Renal and ureteric calculi is an uncommon problem in western hemisphere but Pakistan being in the middle of the stone belt has much higher incidence. Open surgery has produced excellent results but the non-invasive lithotripsy and minimally invasive endoscopic management of urinary tract stones has changed the attitudes towards acceptance of open surgery by patients and the relatives. Extracorp...

We reviewed our prospective database of PNL in the last 5 years and identified all cases that underwent to LA-PNL. The option for choosing LA-PNL was made by the surgeon on the preoperative consultation based on the colon position on the CT scan. A 3-port laparoscopy was done for colon retrieval. Then, a percutaneous access guided by retrograde pyelography was performed, with direct visualizati...