An 82-year-old woman without any previous medical history arrived in the emergency department with severe pain in the entire abdomen since 5 h. Blood tests showed, apart from a CRP of 28 mg/l, no abnormalities. We decided to perform an abdominal ultrasound, which showed an easily compressible gallbladder, containing a small, mobile gallstone and free fluid in the abdomen. During ultrasound-guid...

  Introduction: Despite presence of a body of evidence in support of high accuracy of cholecystokinin cholescintigraphy (CCK-CS) , for diagnosis of chronic cholecystitis(CC) , some authors have claimed that  gallbladder ejection fraction (GBEF)  has poor predictive diagnostic values. The purpose of this study was to determine if there is any difference in GBEF between...

Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy ...

Bile lipid and bile acid compositions of twenty-five diabetic patients (eight males and seventeen females) were compared with those of twenty normal subjects and twelve non-diabetic patients with cholesterol gallstone. Diabetic patients were grouped into the untreated, insulin-treated and untreated patients with gallstone. The results are as follows. The average molar percentage of cholesterol ...

CONTEXT Acute pancreatitis is most commonly linked to gallstone disease or alcohol consumption. Occasionally it can follow infectious disease. Malaria, especially Plasmodium falciparum infection, has been associated with acute pancreatitis. CASE REPORT We present the case of a 17-year-old male who presented with a history of fever, abdominal pain and hypotension and revealing acute pancreatit...

An immunocompetent patient recovering from gallstone-induced pancreatitis had to be readmitted due to abdominal pain, fever, and rapid deterioration. Computed tomography guided needle aspiration established the diagnosis of pancreatic necrosis infection; microbiological investigations revealed monoinfection with Lactobacillus paracasei subspecies tolerans. To our knowledge, this is the first de...

An autopsy performed on a 53-year-old man who had unrelieved obstruction of the small bowel due to gallstone ileus revealed morphological features that were typical of acute Wernicke's encephalopathy. The likely sequence of disease in this patient was the development of thiamine deficiency owing to the unrelieved intestinal obstruction, which resulted in the development of acute Wernicke's ence...

Gallstone disease remains one of the most common medical problems leading to surgical in‐ tervention. It occurs in up to 20% of men and 35% of women in Western societies [1, 2]. Ev‐ ery year, more than 500,000 cholecystectomies are performed in the US [3]. The resultant direct and indirect cost of gallbladder disease represents a consumption of ~$6.2 billion an‐ nually in the U.S., constituting...

Gallstone disease is a gastrointestinal that results from the dysfunction of cholesterol, bile, and bilirubin metabolism. Gallstones in gallbladder are common form through cholelithiasis. They can also grow biliary ducts choledocholithiasis. In industrial countries, gallstone has increased prevalence affects up to 20% adult population. Its major risk factors female gender, age, obesity, type 2 ...