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Misleading Mercedes-Benz sign: A case report of misdiagnosed cholecysto-hydatid cyst fistula in acute cholecystitis.
Int J Surg Case Rep
November 2024
Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
Introduction: Liver hydatid cysts represent a significant health concern globally, particularly in endemic regions like Tunisia. While they often lead to complications such as biliary fistulas, diagnostic errors can arise from radiologic signs like the "Mercedes Benz sign," which indicates gas within the gallbladder. This report highlights the challenge of diagnosing a rare cholecysto-hydatid cyst fistula, where the presence of gas in the gallstones initially suggested a fistula.
View Article and Find Full Text PDFComparison for the diagnostic performance of early diagnostic methods for biliary atresia: a systematic review and network meta-analysis.
Pediatr Surg Int
June 2024
Department of General Surgery, Tianjin Children's Hospital, Tianjin, 300134, China.
Background: Biliary atresia (BA), a progressive condition affecting canalicular-bile duct function/anatomy, requires prompt surgical intervention for favorable outcomes. Therefore, we conducted a network meta-analysis of common diagnostic methods to assess their performance and provide evidence-based support for clinical decision-making.
Methods: We reviewed literature in PubMed, EMBASE, and Cochrane for BA diagnostics.
Article Synopsis
- The study compares the effectiveness and safety of two surgical methods for treating common bile duct stones: laparoscopic cholecystectomy combined with laparoscopic common bile duct exploration (LC+LCBDE) and endoscopic retrograde cholangiopancreatography with laparoscopic cholecystectomy (ERCP+LC).
- It analyzes data from 148 patients, looking at factors like success rates, operation times, hospital stays, complication rates, and costs between the two groups.
- Results indicate that LC+LCBDE has a higher success rate, shorter operation and hospital stay times, and lower hospitalization costs compared to ERCP+LC, along with a lower incidence of postoperative abdominal pain.
Early versus delayed laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography: A meta-analysis.
Medicine (Baltimore)
September 2023
Hepatobiliary Surgery, The People's Hospital of Jiangyou, Sichuan Province, China.
Purposes: Patients with cholecysto- and choledocholithiasis usually undergo endoscopic retrograde cholangiopancreatography (ERCP)/-endoscopic sphincterotomy followed by laparoscopic cholecystectomy (LC). However, differences in the timing of LC after the ERCP may alter the post-operative outcomes. The aim of this study was to compare the effect of early (≤3 days) or delayed LC (>3 days) following ERCP on the post-operative outcomes.
View Article and Find Full Text PDFDiagnostic accuracy of updated risk assessment criteria and development of novel computational prediction models for patients with suspected choledocholithiasis.
Surg Endosc
September 2023
Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Background: There are risks of choledocholithiasis in symptomatic gallstones, and some surgeons have proposed the identification of choledocholithiasis before cholecystectomy. Our goal was to evaluate the diagnostic accuracy of the latest guidelines and create computational prediction models for the accurate prediction of choledocholithiasis.
Methods: We retrospectively reviewed symptomatic gallstone patients hospitalized with suspected choledocholithiasis.
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