OBJECTIVE To determine if preoperative clinical, laboratory and radiology data can predict conversion of laparoscopic cholecystectomy for acute cholecystitis to open procedure. METHODS Retrospective analysis of 44 laparoscopic cholecystectomies were performed for acute cholecystitis between August 2000 and July 2002 at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. Data rel...

It is difficult to distinguish malignant gallbladder diseases from benign ones preoperatively, even though appropriate imaging techniques have been developed [1]. Therefore complementary techniques which facilitate direct visual assessment and visually guided tissue sampling are desirable.Wedescribe the first case of gallbladder cholesterolosis successfully visualized and diagnosed by peroral c...

Calcification of the gallbladder wall (porcelain gallbladder) is an intense structure and uncommon manifestation seen in chronic cholecystitis and resulting from chronic inflammation of the gallbladder wall. Patients with porcelain gallbladder are usually considered not at risk of acute cholecystitis. However, sporadic cases of cholecystitis on porcelain gallbladder have been described in liter...

Porcelain gallbladder is rare manifestation of chronic cholecystitis. calcification of the gallbladder wall is present between 0.06%-0.8% of cholecystectomy specimens. the pathogenesis is still unknown but it is believed that it caused by irritation the gallbladder by stones which lead to chronic inflammation associated with calcium deposit. calcification of the gallbladder wall is associated w...

The concentrations of amikacin and kanamycin were determined in the serum, gallbladder bile, and gallbladder wall of 20 patients undergoing elective cholecystectomy. Of 20 patients, 14 received 500 mg of amikacin intramuscularly and 6 received 500 mg of kanamycin intramuscularly at various times before surgery. In patients receiving kanamycin, detectable levels appeared in bile within 90 min af...

BACKGROUND The ablation of liver tumors located close to the gallbladder is likely to lead to complications. The aim of this article is to compare the safety and efficacy of irreversible electroporation (IRE) and cryoablation in rabbit livers at a location close to the gallbladder. MATERIALS AND METHODS We performed cryoablation (n = 12) and IRE (n = 12) of the area of the liver close to the ...

OBJECTIVE To determine the role of risk factors, which promote cholelithasis in Hepatic Cirrhosis (HC). METHODS A prospective study was conducted on indoor cases with advanced HC. Outpatients with compensated Chronic Liver Disease were used as control. The subjects with history of cholecystectomy and diabetes mellitus were excluded from the study. Conventional ultrasound was used for the dete...

Gallbladder wall thickening (3 mm or greater) is a nonspecific finding with many causes. We describe two cases caused by infectious mononucleosis. Other causes of gallbladder wall thickening are described and the literature is reviewed. We suggest that the finding of gallbladder wall thickening in a patient with infectious mononucleosis implies that the patient is very ill, and its observation ...

Strangulation of the gallbladder associated with the omentum is extremely rare and, to our knowledge, only two cases have been previously reported. The patient was a 91-year-old female who presented to our emergency room with a chief complaint of upper abdominal pain. Computed tomography imaging revealed a gourd-shaped gallbladder with biphasic appearance divided clearly at the body. In the fun...