Received 11/9/2004; revised 12/15/2004; accepted 12/17/2004. For correspondence or reprints contact: Shih-Chuan Tsai, M.D., Department of Nuclear Medicine, Show-Chwan Memorial Hospital, 542 Section 1, Chung-Shang Road, Changhua 500, Taiwan, ROC. Tel: (886)4-7256166 ext. 6322, Fax: (886)4-7117466. False-negative results of hepatobiliary scans for the diagnosis of acute calculous cholecystitis ar...

Patients undergoing surgical treatment for calculous disease were considered to have had a partial cholecystectomy performed when a part of the gall bladder wall was retained for technical reasons. Forty patients underwent partial cholecystectomy: for chronic cholecystitis (20), acute cholecystitis (4), Mirizzi's syndrome (14), portal hypertension or partially accessible gall bladder (one patie...

Emphysematous cholecystitis is an uncommon complication of calculous cholecystitis due to secondary infection of gallbladder wall with gas-forming enteric organisms. It carries high morbidity and mortality to the patients and a rapid and early diagnosis is essential in patient’s clinical outcomes. Ultrasonography is usually the first and foremost test performed in cases of suspected biliary dis...

Percutaneous cholecystostomy offers a potentially important type of therapy for critically ill patients with acute cholecystitis who present high risk when undergoing laparotomy or laparoscopy under general anesthesia. It offers a distinct advantage for these kinds of patients by avoiding the risks of the surgical intervention. Percutaneous cholecystostomy is a safe and effective minimally inva...

INTRODUCTION Gall bladder perforation (GBP) is a rare yet potentially fatal condition. e mortality rate of GBP is reported to be 12%-16% [1]. Acute Cholecystitis, calculous or acalculous, can lead to GBP in 6%12% of cases [2, 3]. In emergency setting cholelithiasis and its complications like biliary colic, acute cholecystitis are very frequently dealt by the surgeon and at times clinical prese...

Many surgeons practice prophylactic drainage after cholecystectomy without reliable evidence. This study was conducted to answer the question whether to drain or not to drain after cholecystectomy for acute calculous cholecystitis. A retrospective review of all patients who had cholecystectomy for acute cholecystitis in Aseer Central Hospital, Abha, Saudi Arabia, was conducted from April 2010 t...

IMPORTANCE Ninety percent of cases of acute calculous cholecystitis are of mild (grade I) or moderate (grade II) severity. Although the preoperative and intraoperative antibiotic management of acute calculous cholecystitis has been standardized, few data exist on the utility of postoperative antibiotic treatment. OBJECTIVE To determine the effect of postoperative amoxicillin plus clavulanic a...