1/132. colon ischaemia secondary to barolith obstruction.A case is described of an elderly woman who developed an obstructing barolith in the sigmoid colon following a barium enema. Colonic ischaemia developed in the proximal colon. Predispositions and prevention of baroliths are discussed.- - - - - - - - - - ranking = 1keywords = obstruction (Clic here for more details about this article) |
2/132. Impacted papilla minor stone in pancreas divisum causing severe acute pancreatitis: a case for early ERCP in acute pancreatitis of unknown origin.This is the first description of severe acute pancreatitis in pancreas divisum caused by a solitary stone impacted in the minor papilla. Recovery was rapid after diagnostic endoscopic retrograde cholangiopancreaticography (ERCP) and endoscopic stone removal. Since other etiological factors accounting for the acute pancreatitis were carefully excluded, it seems that obstruction of the minor papilla by a solitary pancreatic concrement was the most likely cause of acute pancreatitis. This case report demonstrates the diagnostic importance of early ERCP in cases of etiologically unexplained acute pancreatitis.- - - - - - - - - - ranking = 0.25keywords = obstruction (Clic here for more details about this article) |
3/132. Small-intestinal enteroliths--unusual cause of small-intestinal obstruction: report of three cases.PURPOSE: The aim of this study was to report on a rare cause of small-intestinal obstruction caused by small-intestinal enteroliths. methods: We present three different cases of enterolith formation in the small intestine. One occurred after nontropical sprue, one patient had multiple jejunal diverticula, and another patient had enterolith formation in a blind loop after a small-bowel side-to-side anastomosis. RESULTS: After initial conservative therapeutic approach all patients underwent surgery. In two patients the enteroliths were removed by ileotomy or jejunostomy. In the third patient the bowel anastomosis had to be revised after removal of the enterolith. CONCLUSION: Small-intestinal enteroliths may cause small-bowel obstruction. The first therapeutic approach is nonsurgical; however, if obstruction proceeds, surgical removal with or without revision of underlying pathology is necessary. We discuss the causes and therapeutic management of enteroliths and give a review of related literature.- - - - - - - - - - ranking = 1.75keywords = obstruction (Clic here for more details about this article) |
4/132. Endoscopic pancreatic sphincter balloon dilation for effective retrieval of pancreatic duct stone.To facilitate pancreatic stone retrieval, four patients with chronic pancreatitis and pancreatic stones underwent endoscopic pancreatic sphincter balloon dilation (EPSBD) rather than pancreatic sphincterotomy. Extracorporeal shock wave lithotripsy combined with endoscopic removal was carried out in three patients. Stone removal following EPSBD was completely successful in all four patients. patients showed no severe complications during the dilation procedure. In one patient, to prevent pancreatitis, an endoscopic nasopancreatic drain was placed for 1 week after EPSBD. Compared with pancreatic sphincterotomy, EPSBD can be performed safely in patients with chronic pancreatitis to assist in the extraction of pancreatic duct stones. Use of the EPSBD procedure in cases of chronic pancreatitis provides a useful approach to improve endoscopic clearance of pancreatic duct stones.- - - - - - - - - - ranking = 1.1631838637302keywords = duct (Clic here for more details about this article) |
5/132. Vaginal calculi in a young woman.A case of a large vaginal stone in a 26-year-old woman is presented. Vaginal stones are relatively rare. Various causes can lead to vaginal stone formation. In our case, the calculi was due to vaginal outlet obstruction in childhood. The diagnosis is usually easy to be done. In our patient, X-ray films using frontal and lateral views of the urinary system permitted to establish the right diagnosis. Treatment can vary, depending on the cause of the stone formation and the consistency of the calculi. In this case, the treatment was surgical with simple evolution. It permitted a normal social and sexual life to this young patient.- - - - - - - - - - ranking = 0.25keywords = obstruction (Clic here for more details about this article) |
6/132. Atypical presentation of a dacryolith.PURPOSE: To describe the clinical features and management of a patient with an extralacrimal dacryolith. methods: Case report. RESULTS: A 43-year-old woman remarked at a routine eye examination that a small, firm mass located for several years on the right side of her nose had recently become slightly larger. The mass had remained firm and nontender during this enlargement. She explicitly denied having any past or current lacrimal outflow problems. Surgical excision disclosed a mass external to the lacrimal sac and duct, adherent to its lateral wall. The histopathologic features were consistent with a dacryolith surrounded by a chronic inflammatory reaction and no epithelial lining. CONCLUSION: We presume that the dacryolith must have formed within the lacrimal sac and then migrated laterally into the surrounding soft tissue.- - - - - - - - - - ranking = 0.19386397728837keywords = duct (Clic here for more details about this article) |
7/132. portal vein phlebolithiasis found post-liver transplantation in the native liver of a child with biliary atresia.biliary atresia is defined as partial or total obliteration of the extra-hepatic bile ducts. In advanced cases, liver transplantation (LTx) is considered the most appropriate treatment. This report describes a female patient whose biliary atresia and subsequent cirrhosis required LTx at 1 yr of age. Macroscopic inspection of the hilar region of the native liver post-Tx revealed the formation of a pouch in the hepatic duct and a stone in the lumen of the portal vein. x-ray diffraction analysis showed that the stone was composed of cholesteryl cinnamate, gluconic acid phenylhydrazide, Na beta broma-allyl mercaptomethyl penicillinate, and Al2O3 crystals. While the cholesterol component is a known element of gallstones, we attributed the Na beta broma-allyl mercaptomethyl penicillinate to the patient's drug therapy. Our literature search revealed no previous record or crystallographic analysis of portal vein phlebolithiasis. In this report we describe this rare finding.- - - - - - - - - - ranking = 0.51436138616162keywords = duct, bile duct, bile (Clic here for more details about this article) |
8/132. splenic rupture following ESWL for a pancreatic duct calculus.Extracorporeal shock wave lithotripsy (ESWL) is an established and extensively used treatment alternative for urinary calculi. It is also an established method of dealing with pancreatic duct calculi complementing endoscopic techniques in selected cases. Three reports of splenic injury following and probably caused by ESWL for urinary calculi have previously been published. We report a case of splenic rupture presenting with life-threatening hemorrhage 6 days after a single ESWL therapy session for pancreatic duct calculi.- - - - - - - - - - ranking = 1.1631838637302keywords = duct (Clic here for more details about this article) |
9/132. Splenic abscess after lithotripsy of pancreatic duct stones.We describe a case of splenic abscess following lithotripsy of pancreatic stones, for which emergency splenectomy eventually had to be performed. It is important to be aware of this complication, because splenic abscess is still a life-threatening entity.- - - - - - - - - - ranking = 0.77545590915348keywords = duct (Clic here for more details about this article) |
10/132. Anomalous pancreaticobiliary union and chronic pancreatitis: rare presentation with biliary peritonitis.Anomalous pancreaticobiliary union (APBU) has varied presentations. We report the case of a 12-year-old female who presented with biliary peritonitis due to a perforation of the common bile duct due to impaction of a pancreatic calculus at the duodenal papilla. She had a long common-biliary channel and pancreas divisum with chronic calcific pancreatitis involving the pancreatic head and neck. To our knowledge, this is the first such reported case in the literature.- - - - - - - - - - ranking = 0.32049740887325keywords = duct, bile duct, bile (Clic here for more details about this article) |
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