Diseases of the gall bladder in childhood are of great interest. Recently, Forshall and Rickham (1954) and previously Potter (1938) drew attention to cholecystitis associated with gall stones. The majority of such cases do not present as acute emergencies. Fevre (1933) states that diseases of the biliary tract presenting as surgical emergencies are usually a perforation or volvulus of the gall ...

(Anatomy and ontogenesis of hymenopteran leaf galls of Struthanthus vulgaris Mart. (Loranthaceae)). Leaves of Struthanthus vulgaris Mart. (Loranthaceae) exhibit galls induced by a Hymenoptera. These galls pass through five developmental stages. In the first stage, a small brown swelling is observed on the surface of the leaf. Internally, the chlorenchyma cells around the eggs of the gall-makers...

The evolutionary divergence of the galling habit of aphids (Homoptera: Fordinae) that induce different gall types on Pistacia spp. (Anacardiaceae) trees in the Mediterranean region was examined. The phylogenetic cladogram of the aphids that was based on sequences of mitochondrial genes (COI and COII) was constructed. Placing gall traits on the single parsimony cladogram suggests that gall types...

BACKGROUND Carcinoma of the gall bladder has a guarded prognosis with predominant sites of involvement being liver and regional nodes. Osseous metastasis in carcinoma of the gall bladder is rare and hence bone scintigraphy does not form a part of the routine work-up for such patients. CASE REPORTS We describe two patients with carcinoma of the gall bladder with osteolytic metastasis (stage 4)...

Congenital absence of the gall-bladder is a rare condition. It is sometimes associated with other congenital defects. We report here two cases of gall-bladder agenesis discovered at laparoscopy. Both had a history of skeletal and cardiovascular anomalies. The investigation of patients with absent gall-bladder can be very difficult. Ultrasound scanning is usually inconclusive and further noninva...

Gall-bladder sensitivity to cholecystokinin (CCK) was determined by dynamic cholescintigraphy in 18 patients with radiolucent gall stones and 18 matched controls during an infusion of CCK in which the rate of infusion was increased. In 10 of the matched pairs the patient was more sensitive than the control, in one the control was more sensitive, and in seven no difference was detected (p = 0.01...

Gall bladder storage of hepatic bile prevents complete recovery of biliary excretion of drugs to be obtained under physiological conditions in man. The aim of this study was to develop and validate a method for simultaneous measurement of gall bladder storage of a cholephilic drug, and of its duodenal excretion and t1/2 in bile. Duodenal perfusion using polyethylene glycol as intestinal recover...

Sonography was used to investigate the prevalence of symptomatic and silent biliary tract disease, in free living urban population in Kashmir. A randomly drawn sample of 1695 subjects aged 15 years or above was interviewed by a questionnaire. Twenty six had previous cholecystectomies, all for gall stones. Ultrasonography was carried out on 1104 (65.1%). The responder rates for ultrasonography i...

During the decade in which the medical dissolution of gall stones has become feasible several drugs have been introduced but only the two listed in the British National Formulary have been intensively evaluated and shown to be effective--chenodeoxycholic acid and the closely allied ursodeoxycholic acid. The dissolution of gall stones was last reviewed in the "BMF" in 1976, at which stage experi...

Endoscopic sphincterotomy with extraction of the stones is often the only treatment for stones in the bile duct in patients considered unfit for surgery. Most of these patients fare well even when they have stones in the gall bladder; cholecystectomy for biliary colic, acute cholecystitis, or jaundice was necessary in less than 15% followed up for up to seven years. 2 After the procedure patien...