1/3. Oral contrast-enhanced CT cholangiography--an initial experience.OBJECTIVE: To describe our experience of CT (Computed tomographic) cholangiography examination for detection of choledocholithiasis at the Aga Khan University Hospital (AKUH) Karachi pakistan. methods: Seven patients underwent helical CT cholangiography for suspected choledocholithiasis. iopanoic acid (6 grams) was administered orally 8-12 hours before acquisition of a helical CT cholangiogram. Three-dimensional reconstructions and curved multiplanar reformations were generated from a set of axial source images. RESULTS: Our patients had no adverse reactions to iopanoic acid. The degree of biliary opacification was sufficient to perform three-dimensional and curved planar reformations in 5 patients. In two patients, the biliary tree was not opacified. Both of these studies were considered failures. Findings on CT cholangiography in the remaining 5 patients were the following: cholelithiasis with normal bile duct (n=2), choledocholithiasis (n=1), stone in gallbladder remnant with long cystic duct (n=1) and infiltrating adenocarcinoma of the gallbladder (n=1). CONCLUSION: Spiral CT cholangiography is a safe, non-invasive, and cost effective alternative test and, in a carefully selected patient population can play a role in the diagnostic work-up of patients with suspected choledocholithiasis.- - - - - - - - - - ranking = 1keywords = cholelithiasis (Clic here for more details about this article) |
2/3. Surgical treatment of cholelithiasis and choledocholithiasis in a 2-month-old premature and low birth weight infant.Detection rates of cholelithiasis and choledocholithiasis in infants and children have increased since the introduction of ultrasonography, and surgical treatment is gradually tending to increase. However, for cholelithiasis and choledocholithiasis, controversies over etiology, diagnostic means, operation time, and operating method remain. Using ultrasonogram and magnetic resonance cholangiopancreatography (MRCP), we diagnosed cholelithiasis and choledocholithiasis in a premature and low birth weight infant who was admitted to the hospital with complaints of obstructive jaundice and alcoholic feces. We report the successful treatment of this infant by cholecystectomy and T-tube drainage.- - - - - - - - - - ranking = 7keywords = cholelithiasis (Clic here for more details about this article) |
3/3. A pseudoepidermoid cyst arising from exuberant squamous metaplasia of the gallbladder.Squamous lesions of the gallbladder are uncommon. We report a case of a pseudoepidermoid cyst in a middle-aged woman arising on a background of chronic cholecystitis and cholelithiasis, which induced exuberant squamous metaplasia of the entire gallbladder mucosa, clinically mimicking a gallbladder tumor. To our knowledge, this is the first such reported case in the English literature.- - - - - - - - - - ranking = 1keywords = cholelithiasis (Clic here for more details about this article) |