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Background: Residual lithiasis is the presence of stones in the common bile duct, ignored after one or more biliary interventions. We report an atypical case of chronic symptomatic lithiasis of the lower bile duct occurring 41 years after biliary surgery, managed successfully by ideal choledochotomy.

Case Presentation: A 68-year-old Black African female with several past laparotomies including a cholecystectomy forty-one years ago presented with hepatic colic-type pain that had been intermittent for several years but worsened recently.

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Objective: Holmium laser has demonstrated high efficacy in urethral disobstruction. Venous air embolism (VAE) is a rare complication of prostate surgery. Only two cases of venous air embolism (VAE) in patients submitted to HoLEP, have been described.

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[Primary megaureter in the newborn period: making the case for a temporary splint-free cutaneous ureterostomy].

Aktuelle Urol

April 2020

HELIOS Klinikum Duisburg, Abteilung für Kindernephro- und Kinderurologie (KiNU) an der St. Johannes Klinik, Duisburg.

The term "megaureter" is used to describe a markedly dilated ureter, irrespective of its underlying anatomic abnormality. Primary megaureters categorised as type I and II according to the Pfister-Hendren classification resolve spontaneously during the first years of life, whereas severely dilated type III megaureters have no potential to resolve on conservative management. Regarding this small group of very severely dilated type III megaureters, we recommend a two-step surgical approach: in a first step, we place a temporary splint-free ureterocutaneostomy for early disobstruction.

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Endotracheal metastasis of hepatocellular carcinoma: a case report.

Multidiscip Respir Med

June 2019

2Dipartimento Onco-pneumo-ematologico, Servizio di Endoscopia Bronchiale ed Urgenze broncologiche, Ospedale Antonio Cardarelli, Naples, Italy.

We describe the case of a 75 years old patient with a history of hepatocellular carcinoma, with acute respiratory failure due to tracheal obstruction by metastasis, successfully treated with airway disobstruction with rigid bronchoscope.

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[The radial access approach in complex coronary anatomy: case report and literature review].

G Ital Cardiol (Rome)

October 2015

Servizio di Emodinamica e Radiologia Interventistica Cardiovascolare, IRCCS Policlinico San Donato, San Donato Milanese (MI).

The radial artery approach has been accepted as an alternative to the traditional femoral approach in both diagnostic and interventional procedures, including treatment of complex coronary lesions such as chronic total occlusions. Catheterization of the left internal mammary artery (LIMA) graft is frequently performed through this route in order to limit catheter manipulation and avoid dissection of the subclavian and mammary artery, a dramatic event rarely reported in the literature. Nonetheless, indication for this approach should be carefully evaluated, especially if an unfavorable angle of origin of the mammary artery is present.

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