8 results match your criteria: "Acalculous Cholecystopathy"

Article Synopsis
  • Acute acalculous cholecystitis (AAC) can be challenging to diagnose and can occur due to various underlying conditions, including rare viral infections.
  • A 35-year-old man presented to the emergency room with symptoms like fever, abdominal pain, and abnormal lab results, leading to the diagnosis of AAC caused by Hantaan virus.
  • After conservative management without surgery, the patient's condition improved significantly, and he was discharged after 10 days, highlighting the need to consider Hantaan virus infection in similar cases.
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Article Synopsis
  • The study assesses the effectiveness of a specific imaging technique called quantitative cholescintigraphy with a fatty meal in diagnosing biliary dyskinesia among patients experiencing biliary pain.
  • A total of 35 patients were analyzed to determine gallbladder ejection fractions and Sostre score criteria to identify conditions like cholecystopathy and sphincter of Oddi dysfunction (SOD).
  • The findings revealed that certain patients showed high Sostre scores indicative of SOD and that the imaging technique helped differentiate between various causes of biliary pain, including cases related to previous gallbladder surgery and opioid use.
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Article Synopsis
  • This study examines the clinical and radiologic findings in seven HIV-infected patients experiencing 10 episodes of symptomatic cholecystopathy associated with interleukin-2 infusions.
  • The episodes of right upper quadrant pain occurred 4-5 days post-infusion, showing gallbladder wall thickening on sonograms, with no need for surgical intervention.
  • Patients exhibited rapid symptom resolution once interleukin-2 infusions were adjusted, but some experienced recurrent episodes with similar findings upon re-treatment.
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Article Synopsis
  • Ultrasonography revealed that 10 patients with thalassemia major, aged 16 to 33, had gallstones (cholelithiasis), while 10 younger patients, aged 7 to 19, exhibited acalculous cholecystopathy, which is a gallbladder issue without stones.
  • The study found that factors like serum liver enzymes, ferritin levels, and splenectomy do not significantly affect gallstone formation in these patients.
  • Although the incidence of gallstones has decreased due to better blood transfusion practices, liver disease remains a potential cause of gallbladder issues in younger patients with thalassemia.
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[Study of gallbladder emptying using 99m Tc-HIDA in acalculous cholecystopathy].

Schweiz Med Wochenschr

August 1987

Ospedale della Beata Vergine, Mendrisio.

Article Synopsis
  • Acalculous gallbladder disease is a poorly understood condition primarily affecting young women, possibly linked to a dysfunction in bile tract motility.
  • A study involving seven young women with recurrent abdominal pain showed significantly slower gallbladder emptying compared to women with irritable colon and asymptomatic controls.
  • Treatment with ursodeoxycholic acid led to reduced pain and improved gallbladder function, suggesting that delayed emptying may contribute to cholesterol crystal formation in this condition.
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Article Synopsis
  • The lecture discusses ongoing debates in the surgical treatment of gallbladder disease, influenced by new research and alternative medical options.
  • It highlights seven key controversial topics, including when to operate on acute cholecystitis and how to treat diabetic patients with gallstones.
  • Other areas covered include the approach to asymptomatic gallstones, medical treatments, the use of cholangiography, and management strategies for gallstone pancreatitis and acalculous cholecystopathy.
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Article Synopsis
  • * A specific case is discussed where a patient had Crohn's disease in the duodenum along with severe acalculus cholecystitis, without any intestinal issues.
  • * The patient underwent surgery, which included gastrojejunostomy and cholecystectomy, and has remained asymptomatic four years post-operation; the authors suggest bile reflux due to CD affecting the Vater papilla as a potential cause of the biliary issues.
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