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How do inflammatory marker dynamics shift with acute calculous cholecystitis severity?
Ulus Travma Acil Cerrahi Derg
January 2025
Department of General Surgery, Istanbul Training and Research Hospital, Istanbul-Türkiye.
Introduction: Gallstone may cause complications of cholecystitis, gallbladder gangrene, perforation, and related sepsis. This study aims to identify how CRP and immune cells change in patients with acute calculous cholecystitis based on the severity of disease.
Method: Patients with acute calculous cholecystitis were categorized into three main groups-mild, moderate, and severe-based on the Tokyo guidelines.
An Atypical Presentation of Acute Cholecystitis with Left Sided Chest Pain and ST Elevation - A Case Report.
Open Access Emerg Med
December 2024
Emergency Department, Lucerne Cantonal Hospital and University of Lucerne, Lucerne, Switzerland.
Background: ST elevation combined with typical chest pain is an indication for acute coronary vascularization and is usually associated with acute myocardial infarction. Herein, we present an unusual case of ST elevation.
Case Presentation: A 57-year-old male patient presented to the emergency department with chest pain radiating to both arms and the back.
The Presence of Type Va Double Common Bile Duct in a Male Patient: A Case Report.
Cureus
October 2024
Department of Radiology, Tempe St. Luke's Hospital, Tempe, USA.
Double common bile duct (DCBD) is a rare congenital anomaly of the biliary system, characterized by the presence of two common bile ducts. The condition can be classified into five distinct types. Type Va DCBD is one of the rare congenital variations where both bile ducts open separately into the duodenum: one opens normally at the major duodenal papilla, and the second opens independently into the duodenum at a different site, usually proximal to the major duodenal papilla.
View Article and Find Full Text PDF[Comparative analysis of laparoscopic cholecystectomy outcomes in acute calculous cholecystitis: importance of indocyanine green, optimal dosing regimen].
Khirurgiia (Mosk)
November 2024
Vinogradov University Clinical Hospital - Patrice Lumumba Peoples' Friendship University of Russia, Moscow, Russia.
Objective: To show the effectiveness of the indocyanine green application in laparoscopic cholecystectomy of any complexity.
Material And Methods: Our study used a domestically produced drug, namely indocyanine green, lyophilisate, which was diluted in water for injections. In addition, 4K equipment with the possibility of fluorescence of different manufacturers (Arthrex, ELEPS, KARL STORZ) was used.
Clinical evolution of gallstones following percutaneous cholecystostomy in patients with severe acute calculous cholecystitis: a single-center analysis of 102 cases.
Ann Gastroenterol
October 2024
Royal Devon University Healthcare NHS Foundation Trust (Ram Ragatha, Ibraheem Khalil, Rebecca Jones, Antonio Manzelli, Alex Reece-Smith, Shahjehan Wajed, Davide Di Mauro).
Article Synopsis
- Percutaneous cholecystostomy (PC) is effective for controlling sepsis in patients with severe acute calculous cholecystitis, but long-term treatment outcomes remain uncertain.
- A study analyzed 102 patients who underwent PC, comparing those who had laparoscopic cholecystectomy (LC) later with those who received conservative management, showing no significant difference in readmission rates for biliary issues.
- Results indicated that interval LC led to significantly lower rates of late mortality (13.3% vs. 61.9%) and higher survival rates after three years (75% for LC vs. 38% for conservative management).
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