Challenges in the management of acute lithiasic cholangitis due to a long-retained plastic biliary stent: A case report.

Background And Importance: This case report focuses on a rare cause of acute lithiasis cholangitis, which is residual choledocholithiasis on a plastic biliary stent that was placed nine years prior.

Case Presentation: An 87-year-old male, with a history of hypertension and previous surgery for gallstone disease including cholecystectomy and placement of a Kehr drain in 2006, was diagnosed with residual stones in 2008 and received a plastic biliary stent after endoscopic sphincterotomy. Lost to follow-up for nine years, he presented with acute lithiasis cholangitis characterized by fever, conjunctival jaundice, leukocytosis, CRP elevation, and biochemical signs of cholestasis.

A case report of primary multiple hydatid cysts of psoas muscle: An exceptional location.

The psoas muscle localization is even more exceptional when they are multiple. The clinical and radiological features were often misleading. This case report aimed to highlight the difficulties of radiological diagnosis and the dilemma of choosing the best operative approach.