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From Chronic Gallstone to Acute Ileus: A Case Report.
Cureus
October 2024
Gastroenterology, Nazareth Hospital, Philadelphia, USA.
Article Synopsis
- Gallstone ileus is a rare cause of bowel obstruction that can be difficult to diagnose due to its vague symptoms and the inconsistent presence of Rigler's triad, which includes pneumobilia, bowel obstruction, and ectopic gallstone.
- An 80-year-old woman with abdominal pain was diagnosed with gallstone ileus after a CT scan showed pneumobilia and a calcified mass in the small bowel, which matched earlier images of a large gallbladder mass.
- The case demonstrates the need for healthcare professionals to review past imaging when diagnosing gallstone ileus, highlighting the value of an integrated electronic medical record system to improve diagnostic accuracy.
Laparoscopic Cholecystectomy for Entirely Calcified Porcelain Gallbladder: Challenges, Management, and Literature Review.
J West Afr Coll Surg
July 2024
Department of General Surgery, Government Medical College, Sirohi, Rajasthan, India.
Commonly referred to as a "porcelain gallbladder (PGB)," gallbladder calcification is usually asymptomatic. It is observed that chronic inflammation of the gallbladder can occur as a result of another underlying condition, specifically gallstone disease. In the past, there was a belief that PGB had a correlation with gallbladder cancer, with an incidence rate of 30%.
View Article and Find Full Text PDFNegative gallbladder stones: Diagnostic advantages of dual-energy CT and analysis of a unique case.
Asian J Surg
May 2024
Department of CT Examination, Shengli Oilfield Central Hospital, Dongying, 257034, China. Electronic address:
Background: Gallbladder stones are a common digestive system disease, but their diagnosis can be limited in some cases, especially in identifying "negative" stones, which may be difficult to recognize with traditional CT scans.
Objective: This study aims to explore the advantages of dual-energy CT in diagnosing negative gallbladder stones through a unique case of gallbladder stones.
Methods And Results: A case of a 31-year-old female is described, who was diagnosed with gallbladder stones during a physical examination two years ago and occasionally experienced pain in the upper right abdomen.
Is systematic histological examination of the cholecystectomy specimen always necessary?
J Visc Surg
February 2024
Digestive surgery department, CHU d'Amiens, Amiens, France.
Article Synopsis
- The study investigates whether routine histological examination (HE) of gallbladders removed due to gallstones is necessary, given recent findings questioning its universal application.
- It reviews literature, focusing on cases that may not require HE, and explores a selective strategy based on the surgeon's macroscopic assessment.
- The results suggest that in low-risk populations, a thorough macroscopic inspection can reliably identify patients who likely do not have hidden gallbladder cancer, making routine HE potentially unnecessary and more cost-effective.
Fasciola Infection Unexpectedly Found During Cholecystectomy: Review on How to Avoid Increasing Surgery Interventions in Non-human Endemic Areas.
Acta Parasitol
December 2023
Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andres Estelles s/n, Burjassot, 46100, Valencia, Spain.
Purpose: Fascioliasis is caused by Fasciola hepatica of almost worldwide distribution and F. gigantica in wide regions of Asia and Africa. Their adult stage develops in the biliary canals and gallbladder.
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