abstract acute inflammation of the gallbladder can occur without gallstones. acalculous cholecystitis typically develops in critically ill patients in the intensive care unit. patients on parenteral nutrition, with extensive burns, sepsis, major operations, multiple organ trauma or prolonged illness with multiple organ system failure are at risk for developing acalculous cholecystitis. the asso...

To reevaluate the current features of spontaneous internal biliary fistulas, we reviewed 1,929 consecutive patients who had been treated for biliary tract diseases during the recent 12-year period. Thirty-three patients had internal biliary fistulas and the incidence was 1.9%. Of 33 patients, 20 were women and 13 were men with the average age 63 years, and their mean duration of illness was 4 y...

Surgery is standard management for patients with Mirizzi syndrome. In cases of Mirizzi syndrome type II, laparoscopic surgery is evenmore complicated because of the cholecystocholedochal fistula. Endoscopic treatment for Mirizzi syndrome is still controversial except to relieve a bile duct obstruction [1,2]. This report describes a successful endoscopic treatment for Mirizzi syndrome type II wi...

BACKGROUND Gallstone ileus is an uncommon complication of gall stones associated with potentially serious morbidity and mortality. CASE REPORT We reported a 60-year-old male case who presented with renal failure and pain in right hypochondriac region. He also had a history of brain infarcts along with diabetes which is an additional factor for mortality. On Computed Tomography of the abdomen,...

Mirizzi syndrome type II is an uncommon cause of obstructive jaundice caused by an inflammatory response to an impacted gallstone in Hartmann's pouch or the cystic duct with a resultant cholecystocholedochal fistula. Two cases of Mirizzi syndrome type II are presented. Clinically only one patient had jaundice and endoscopic retrograde cholangiopancreatogram (ERCP) established a preoperative dia...

INTRODUCTION Mirizzi's syndrome is a rarely observed disorder that presents with obstructive jaundice. The condition is caused by a stone impacted in the gall bladder neck or cystic duct that impinges on the common hepatic duct, with or without a cholecystocholedochal fistula. The condition is often confused with other serious conditions such as hilar cholangiocarcinoma, which present with simi...

West Indian Med J 2005; 54: (1) 85 INTRODUCTION Gallstones presenting as cholecystoduodenal, cholecystocholedochal and cholecysto-gastric fistulae causing gastric outlet obstruction (Bouveret’s syndrome) or the classical gallstone ileus are well documented. Gallstones penetrating the gastric wall but not the gastric mucosa, and lying in an isolated subserosal, intramural portion of the stomach ...

appendicovesical fistula is an uncommon type of enterovesical fistula and a rare complication of unrecognized appendicitis. appendicovesical fistula often presents with recurrent or persistent urinary tract infection, especially in men. the commonest causes are appendicitis, cecal diverticulitis, and cystadenocarcinoma or carcinoid tumors of appendix. approximately 114 cases have been reported ...