23,274 results match your criteria: "Cholecystitis"
BMC Surg
December 2024
Department of Surgery-Surgical Oncology, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Background: Gallstone disease is one of the most resource-intensive surgical conditions. Despite the significant burden of emergency cholecystectomy on healthcare system, there is lack of research assessing the risk factors predisposing scheduled elective cholecystectomy patients to emergency surgery. Characterization of patients with gallstones helps to prioritize delivery of health care to avoid urgent surgery.
View Article and Find Full Text PDFMedicine (Baltimore)
December 2024
Department of Hepatobiliary Surgery, Yangxin People's Hospital, Yangxin, China.
Rationale: Duplication of gallbladder is a rare anomaly in humans, as it is very rare for a duplication of gallbladder to be missed during the first cholecystectomy and thus require a second cholecystectomy.
Patient Concerns: A 42-year-old man came to our hospital with paroxysmal right upper abdominal pain for 10 days. In addition to the pain, he also had transient jaundice.
Cureus
November 2024
Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Introduction Acute cholecystitis, commonly caused by gallstones, is a prevalent surgical emergency worldwide. Laparoscopic cholecystectomy (LC) is the gold standard for treatment, but the timing is crucial, with early surgery (within seven days) reducing complications. Identifying prognostic factors such as age, sex, white blood cell (WBC) count, C-reactive protein (CRP), and gallbladder wall thickness can help predict outcomes and reduce the need for conversion to open surgery.
View Article and Find Full Text PDFBacterial infections leading to bacteremia and septicemic shock constitute an emerging public health concern globally, especially in areas where sanitation is poor and safe drinking water is scarce. Enteric pathogens such as Vibrio cholerae are responsible for many deaths caused by contaminated food and water in these areas. While cholera is the prominent clinical threat posed by V.
View Article and Find Full Text PDFAnn Gen Psychiatry
December 2024
Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha, China.
Background: Mood instability, characterized by sudden and unpredictable mood shifts, is prevalent in psychiatric disorders and as a personality trait. Its association with gastrointestinal diseases has been recognized but remains poorly understood in terms of causality.
Methods: This study aims to investigate the causal relationship between mood instability and a spectrum of gastrointestinal diseases by univariable and multivariable mendelian randomization analysis.
BMC Surg
December 2024
Department of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Background: Acute cholecystitis (AC) is an acute inflammatory disease of the gallbladder and one of the most frequent causes of acute abdominal pain. Early cholecystectomy is recommended for mild cholecystitis. However, the optimal surgical timing for moderate-to-severe cholecystitis requiring percutaneous transhepatic gallbladder drainage (PTGBD) remains unclear.
View Article and Find Full Text PDFCureus
November 2024
Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Gallbladder rupture, though rare, is a serious complication often arising from choledocholithiasis and subsequent interventions such as endoscopic retrograde cholangiopancreatography (ERCP). In this case, the patient presented with acute choledocholithiasis and underwent ERCP with sphincterotomy and stone extraction, followed by placement of a fully covered metal stent in the common bile duct (CBD). While the use of covered stents is appropriate, it is important to note that these stents can obstruct the cystic duct orifice in patients with a gallbladder.
View Article and Find Full Text PDFZhonghua Wai Ke Za Zhi
December 2024
Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin150001, China.
Acute pancreatitis is a common surgical emergency characterized by severe local or systemic complications during its progression. Diseases of the biliary system are among the serious local complications of acute pancreatitis, primarily including acute acalculous cholecystitis (AAC) and biliary stricture. AAC often occurs in the later stages of acute pancreatitis, exacerbating systemic inflammation and leading to organ failure and life-threatening conditions in severe cases.
View Article and Find Full Text PDFAten Primaria
December 2024
Clínica de Pediatría Dr. Contreras, Huelva, España.
ANZ J Surg
December 2024
Department of Upper Gastrointestinal, Hepatobiliary and Pancreatic Surgery, Westmead Hospital, Westmead, New South Wales, Australia.
Objectives: While emergency cholecystectomy is the preferred treatment for acute cholecystitis, conservative management can be used as a bridge to definitive surgical management in situations where emergency surgical services are limited. The objective of this systematic review is to identify factors associated with conservative management failure as defined as either failed resolution of symptoms on initial presentation, or the recurrence of symptoms whilst awaiting an elective cholecystectomy. This study aims to allow clinicians to make evidence-based recommendations for conservative versus operative management.
View Article and Find Full Text PDFJ Clin Med
November 2024
Department of Emergency Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, Italy.
Acute cholecystitis (AC) presents a significant burden in emergency surgical settings. Early laparoscopic cholecystectomy (ELC) is the standard of care for AC, yet its implementation varies. This study aims to assess the impact of preoperative waiting time (WT) on postoperative length of stay (LOS) in patients undergoing urgent cholecystectomy.
View Article and Find Full Text PDFAbdom Radiol (NY)
December 2024
University of Virginia Health, Charlottesville, USA.
In this review, we highlight current understanding of the pathogenesis of acalculous cholecystitis, as well as its key imaging and clinical features. We also review what happens after a diagnosis and outline current interventional methods.
View Article and Find Full Text PDFWorld J Gastroenterol
December 2024
Department of Surgery, Chungnam National University Hospital, Daejeon 35015, South Korea.
Background: Chronic biliary disease, including cholangitis and cholecystitis, is attributed to ascending infection by intestinal bacteria. Development of a mouse model for bile duct inflammation is imperative for the advancement of novel therapeutic approaches. Current models fail to replicate the harmful bacterial influx to the biliary tract observed in humans and spread of inflammation to the liver.
View Article and Find Full Text PDFOpen 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.
Cureus
November 2024
General Surgery, Broward Health Medical Center, Fort Lauderdale, USA.
Background Gallstone disease significantly burdens the United States healthcare system. While ultrasonography (US), physical exam, and laboratory findings are the recommended primary workup and diagnostic modalities, hepatobiliary scintigraphy (HIDA) scans are occasionally used as an adjunct for diagnosis. This study evaluates HIDA scan utilization in comparison to clinical and US findings based on the Tokyo guidelines for diagnosing acute cholecystitis.
View Article and Find Full Text PDFCureus
November 2024
General Surgery, Max Super Specialty Hospital, New Delhi, IND.
Gallbladder perforation in acalculous cholecystitis is rare and has a high mortality rate due to biliary peritonitis and sepsis. Here, we present a case series of successful laparoscopic management of Spontaneous gallbladder perforation in acalculous cholecystitis. In the first case, a 44-year-old male patient presented to the emergency room with a history of three days of fever with chills and acute pain in the abdomen for two days.
View Article and Find Full Text PDFCureus
November 2024
General Surgery, Goulburn Valley Health, Shepparton, AUS.
Dengue is endemic in tropical and subtropical regions, affecting millions of people worldwide. While it is not endemic to Australia, outbreaks can occur in Queensland each year. The rarity of dengue in other regions of Australia may pose a diagnostic challenge when patients present at hospitals.
View Article and Find Full Text PDFJ Assoc Physicians India
December 2024
Medical Graduate, Department of Surgery, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India, Corresponding Author.
Unlabelled: Introduction and importance: High-grade B-cell lymphoma (HGBCL) is a highly aggressive form of B-cell non-Hodgkin lymphoma. Lymphoma involvement of the gallbladder is rare, with a reported incidence of 0.1-0.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, D.G. Khan Medical College, Dera Ghazi Khan, PAK.
Acute cholecystitis, often caused by gallstones obstructing the cystic duct, is a potentially life-threatening condition that requires timely intervention. High-risk patients, particularly those with significant comorbidities, may not be suitable candidates for laparoscopic cholecystectomy, necessitating alternative drainage techniques such as percutaneous cholecystostomy (PC) and endoscopic gallbladder drainage (EGD). This systematic review aims to compare the efficacy, safety, and outcomes of PC and EGD in managing acute cholecystitis in high-risk surgical patients.
View Article and Find Full Text PDFAnn Surg Treat Res
December 2024
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Purpose: Laparoscopic cholecystectomy is the gold standard procedure for benign gallbladder disease. However, reducing ports still causes frustration when using various instruments. We investigated early perioperative outcomes of laparoscopic single site + 1 cholecystectomy using ArtiSential instruments (ArtiSential laparoscopic cholecystectomy [ALC], LIVSMED).
View Article and Find Full Text PDFJ Surg Case Rep
December 2024
Northern Health Acute General Surgery Unit, 185 Cooper Street, Epping 3076, Australia.
Acute appendicitis and acute cholecystitis are among the commonest pathologies in acute general surgery. They are characterized by distinct symptoms, clinical examination findings and typical elements of the history which direct further investigations. In the absence of these classic findings, these diagnoses can be missed, particularly where they occur synchronously.
View Article and Find Full Text PDFUlus Travma Acil Cerrahi Derg
January 2024
Tekirdag Corlu Private Vega Hospital, Tekirdag-Türkiye.
Ulus Travma Acil Cerrahi Derg
January 2024
Department of General Surgery, Hitit University Faculty of Medicine, Çorum-Türkiye.
Background: This study aimed to create an algorithm using the decision tree method to classify patients with suspected acute cholecystitis into those who may improve with medical treatment, those who should undergo surgery for acute cholecystitis, and those with complicated cholecystitis, using laboratory parameters alone.
Methods: A total of 1,352 patients treated for acute cholecystitis at our hospital over four years were retrospectively analyzed. Patients were divided into groups based on whether they received medical treatment or surgery.
Endoscopy
December 2024
Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Medicina (B Aires)
December 2024
Servicio de Cirugía de Hígado, Vía Biliar y Páncreas, Hospital Italiano de San Justo Agustín Rocca, Buenos Aires, Argentina.
Hemorrhagic cholecystitis, a rare complication of acute cholecystitis, poses diagnostic challenges due to its varied clinical presentation and relative infrequency. This case involves a 59-year-old male with untreated diabetes and obesity, who presented with nonspecific abdominal pain. Initial results were inconclusive, leading to a delayed diagnosis.
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