2.Combined needlescopic cholecystectomy and laparoscopic splenectomy for the treatment of thalassaemic splenomegaly and cholelithiasis.
Jasmi AY ; Thambidorai CR ; Khairussalleh J
The Medical Journal of Malaysia 2003;58(3):443-445
Gallstone disease is a common association in patients with haematological splenomegaly. When indicated, simultaneous splenectomy and cholecystectomy should be performed and traditionally this is accomplished by open surgery. We report a 17 year old thalassaemic girl with splenomegaly complicated by gallstone pancreatitis. We treated her with a combination of needlescopic cholecystectomy and laparoscopic splenectomy as well as delivering the huge spleen via a pfannenstiel incision to hide the scar. We believe this technique is an acceptable alternative mainly for rapid delivery of the spleen and to minimize visible scars hence improving cosmesis.
Cholecystectomy, Laparoscopic/*methods
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Cholelithiasis/etiology
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Cholelithiasis/*surgery
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Splenectomy/*methods
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Splenomegaly/etiology
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Splenomegaly/*surgery
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beta-Thalassemia/*complications
3.Three-dimensional laparoscopic cholecystectomy: a case report and literature review.
Yingfang FAN ; Nan XIANG ; Lichao WANG
Journal of Southern Medical University 2013;33(12):1856-1857
We report a case of gallbladder stone receiving three-dimensional (3D) laparoscopic cholecystectomy, which allowed 3D visualization of the laparoscopic operative field and faithfully displayed the 3D anatomic structures of the abdominal organs and the gallbladder triangle. The operation was successfully completed in 32 min without intraoperative complications. 3D laparoscopic surgery allows more precise operation with reduced complications and helps to shorten the operative time, and is suitable for more complex laparoscopic surgery.
Abdominal Cavity
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Cholecystectomy, Laparoscopic
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Cholelithiasis
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surgery
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Gallstones
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Humans
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Intraoperative Complications
5.Alteration of gut microbiota in type 2 diabetes complicated with cholelithiasis patients.
Jiajia CHEN ; Linlin YAN ; Xingfan MA ; Ping YUAN ; Fan ZHAO ; Zihan HAN ; Jingshan LIU ; Wenbo WANG ; Donghai ZHOU ; Hongyu ZHAO ; Nan FENG ; Dandan HUANG ; Shoukui HU ; Jin GU
Chinese Medical Journal 2022;135(17):2125-2127
6.Agenesis of the gall bladder with duplication cysts of the hepatic flexure--a case report and literature review.
Singapore medical journal 1993;34(2):181-182
A 24-year-old lady with recurrent upper abdominal pain, underwent surgery for cholelithiasis based on imaging diagnosis by ultrasound scanning. At laparotomy, the gall bladder could not be found either in its normal or ectopic locations. The diagnosis of agenesis of the gall bladder was confirmed by operative cholangiography. Duplication cysts of the hepatic flexure were discovered in the position normally occupied by the gall bladder. The stony hard faeces in the cysts were probably interpreted as gallstones on ultrasound. This rare condition is discussed and the importance of intraoperative cholangiography is stressed.
Adult
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Cholelithiasis
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diagnosis
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Colonic Diseases
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complications
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pathology
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Cysts
;
complications
;
pathology
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Diagnosis, Differential
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Female
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Gallbladder
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abnormalities
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Humans
7.A Case of Duodenal Diverticulum Accompanied with Choledochoduodenal and Pancreaticoduodenal Fistulas.
Sang Ik WHANG ; Jin Bae KIM ; Hae Ri LEE ; Il Hyun BAEK ; Yun Jung CHANG ; Sung Won JUNG ; Myung Seok LEE
The Korean Journal of Gastroenterology 2006;47(5):386-388
Choledochoduodenal fistula (CDF) occurring simultaneously with pancreaticoduodenal fistula is extremely rare. CDF has known to be a chronic sequela of cholelithiasis, but it is unknown whether pancreaticoduodenal fistula results from chronic cholelithiasis as well. We report a case of cholelithiasis accompanied with choledochoduodenal and pancreaticoduodenal fistula opening into small suprapapillary diverticulum in a 80-year-old woman.
Aged, 80 and over
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Biliary Fistula/*complications
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Cholelithiasis/complications
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Common Bile Duct Diseases/*complications
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Diverticulum/*complications
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Duodenal Diseases/*complications
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Female
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Humans
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Intestinal Fistula/*complications
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Pancreatic Fistula/*complications
8.Intraabdominal Abscess Formation by Inadvertently Spilled Gallstones during Laparoscopic Cholecystectomy.
Young Jin SUH ; Wook KIM ; Chung Soo CHUN
Journal of the Korean Surgical Society 2002;63(3):244-246
Various complications following laparoscopic cholecystectomy have been reported. We describe a case of intraabdominal abscess formation which was developed two months after the inadvertently spilling of gallstones laparoscopic cholecystectomy in a patient with acute cholelithiasis. The condition was initially found on computed tomography and the diagnosis was confirmed with ultrasound. Although this is a rare complication of laparoscopic cholecystectomy, the spilling of gallstones should be recognized as a potential source of intra-abdominal abscess formation even in a patient presenting months after laparoscopic cholecystectomy. We suggest that routine use of the specimen retrieval bag is highly recommended especially for beginners of laparoscopic cholecystectomy during their initial learning period.
Abdominal Abscess
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Abscess*
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Cholecystectomy, Laparoscopic*
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Cholelithiasis
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Diagnosis
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Gallstones*
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Humans
;
Learning
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Postoperative Complications
;
Ultrasonography
10.Cholelithiasis associated with recurrent colic in a Thoroughbred mare.
Seung Ho RYU ; Ung Bok BAK ; Chang Woo LEE ; Yonghoon Lyon LEE
Journal of Veterinary Science 2004;5(1):79-82
A 13-year-old Thoroughbred mare, retired from race, was admitted to Equine Hospital, Korea Racing Association with signs of colic. One and a half months following the previous treatment (second time) and 11 days following her previous discharge (third time), the mare repeatedly exhibited signs of colic and finally along with icteric eyes. Routine medical treatment with intravenous fluids, analgesics resulted in resolution of signs of colic in the first and second admission. The condition of the mare did not improve in the third admission despite over one month supportive treatment and she was subject to euthanasia at the request of the owner on the thirtyeighth day of hospitalization (95 days from her first admission). The clinical signs (fever, icterus, mild intermittent colic) in conjunction with clinical laboratory findings (leukocytosis, elevations of serum total bilirubin, direct bilirubin, alkaline phosphatase, aspartate aminotransferase, gamma glutamyl transferase, creatine phosphokinase, lactic dehydrogenase and blood fibrinogen indicative of obstructive biliary disease) in this mare suggested possible chlolelithiasis. However, liver enzymes and bilirubin estimations are often not part of routine screening in emergency colic cases. At necropsy, multiple dark brown choleliths of various sizes obstructing hepatopancreatic ampulla were found in the hepatic duct. The choleliths were found as large as 3-5 cm in diameter, faceted to each other, dark brown in color and showed soap consistency. Histopathologic findings revealed: biliary fibrosis, plugging of the bile canaliculi with bile pigments, cholangiohepatitis and pigmentation of the hepatic lymph node with bile pigment laden macrophages. Although definitive diagnosis of cholelithiasis might be challenging, clinicians should consider this condition in the differential diagnosis of recurrent colic.
Animals
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Cholelithiasis/complications/pathology/*veterinary
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Colic/complications/pathology/therapy/*veterinary
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Fatal Outcome
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Female
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Horse Diseases/*pathology
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Horses