1/11. Primary papillary hyperplasia of the gallbladder: a rare cause of biliary colic.Primary papillary hyperplasia of the gallbladder is a rare, poorly defined, clinicopathologic entity in adults. The authors describe a 12-year-old girl with this finding in the neck and body of the gallbladder. She presented with biliary colic, and ultrasonography of the gallbladder showed persistent thickening of the gallbladder wall but no evidence of calculi. Her symptoms resolved completely after cholecystectomy.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
2/11. "Lights and shadows" in ultrasonography.The case of a 40-year-old male patient come to the emergency service with symptoms suspicious of biliary colic, is presented. liver sonography was requested to evaluate the parenchyma, the gallbladder and bile duct caliber in the suspicion of lithiasis. During the examination a hyper-reflecting image with posterior shadowing was detected at the level of the gallbladder infundibulum. However, the shadowing was not typical of lithiasis. This aroused some doubts and the scan was repeated after some minutes: an absolutely normal infundibulum was visualized. The shadowing was therefore an artifact probably due to a partial volume effect of the air contained in the distended duodenum, in contact with the gallbladder. The formation process of the sonographic image is carefully analyzed with particular reference to the situations generating artifacts.- - - - - - - - - - ranking = 0.375keywords = gallbladder (Clic here for more details about this article) |
3/11. Symptomatic cholecystolithiasis after laparoscopic cholecystectomy.A 45-year-old woman was admitted to our hospital complaining of upper abdominal pain. Seven months earlier a laparoscopic cholecystectomy had been carried out and a solitary gallstone removed together with the gallbladder. The patient now suffered from pain of the same character but lower intensity compared to the situation before the operation. At admission there were no abnormal laboratory findings, especially no signs of infection or cholestasis. Ultrasound revealed a stone in a gallbladder-like structure in the right epigastric region. ERCP revealed an inconspicuous cystic duct stump and no pathological findings in the extra- and intrahepatic bile ducts. MRCP and CT showed a cyst-like structure in the gallbladder region containing a concrement. The patient was transferred to the Department of Surgery for exploratory laparotomy, and a residual gallbladder with an infundibular gallstone was removed. The recurrent upper abdominal pain was obviously caused by a gallstone redeveloped after incomplete laparoscopic gallbladder resection. Retrospectively it could not be discerned whether a doubled or a septated gallbladder was the reason for the initial incomplete resection.- - - - - - - - - - ranking = 0.75keywords = gallbladder (Clic here for more details about this article) |
4/11. Severely impaired postprandial gallbladder emptying despite unchanged cholecystokinin release in the early phase of biliary colic.In the present article we report transitory severely impaired postprandial gallbladder emptying preceding biliary colic in a cholesterol gallstone patient. gallbladder emptying 1 wk before and 3 wk after the biliary colic was normal. Treatment with ursodeoxycholic acid led to increased fasting gallbladder volumes, but the postprandial residual volume did not change. Postprandial cholecystokinin release appeared not to change during ursodeoxycholic acid treatment or during biliary colic.- - - - - - - - - - ranking = 0.75keywords = gallbladder (Clic here for more details about this article) |
5/11. Densely calcified gallstone treated successfully with piezoelectric lithotripsy.A patient with biliary pain and a densely calcified gallbladder stone was treated successfully with piezoelectric extracorporeal shock-wave lithotripsy. The gallstone was fragmented to particles of less than 1-2 mm in diameter in a single 1-h session. The procedure was performed in the outpatient setting and required no anesthesia or analgesia. Follow-up sonograms showed that clearance of residual fragments from the gallbladder had occurred within 1 wk. Our encouraging treatment result suggests the need for future research to be directed towards broadening the currently recommended criteria for biliary lithotripsy, which currently exclude treatment of densely calcified gallstones.- - - - - - - - - - ranking = 0.25keywords = gallbladder (Clic here for more details about this article) |
6/11. Biliary colic after micro dieting.A 33 year old man presented with biliary colic and transient obstructive jaundice. In the 4 weeks preceding admission he had been taking a very low calorie diet (the Cambridge diet) and celebrated achieving his target weight with a fatty meal on the morning of admission. An ultrasound of the gallbladder suggested biliary sludge. We suggest that he developed the biliary sludge as a consequence of calorie restriction and that, following the fatty meal, the gall bladder contracted causing biliary colic and transient obstructive jaundice.- - - - - - - - - - ranking = 0.125keywords = gallbladder (Clic here for more details about this article) |
7/11. Fragile papilloma (papillary adenoma) of the gallbladder. A cause of recurrent biliary colic.This case study of a young man with a papillary adenoma of the gallbladder documents the potential for benign tumors of the gallbladder to present with symptoms of biliary colic. The case illustrates the mechanism by which free-floating, detached, tumor particles cause intermittent obstruction of the cystic duct, and it presents the attendant symptoms.- - - - - - - - - - ranking = 0.75keywords = gallbladder (Clic here for more details about this article) |
8/11. Biliary colic heralding systemic relapse in non-Hodgkin lymphoma.Though lymphocytic lymphoma often presents as a disseminated disease, involvement of the gallbladder or biliary tree in the absence of jaundice is very uncommon [1]. A patient with poorly differentiated lymphoma in complete clinical remission after combination chematherapy experienced repeated episodes of biliary colic; at laparotomy her right-upper-quadrant pain was found to be due to lymphomatous involvement at the common bile duct. recurrence in nodes surrounding the biliary tree heralded by several months the onset of a systemic relapse which did not respond to further cytotoxic therapy.- - - - - - - - - - ranking = 0.125keywords = gallbladder (Clic here for more details about this article) |
9/11. Multiseptate gallbladder as a cause of biliary pain.A 45-yr-old Japanese woman with multiseptate gallbladder, a quite rare congenital anomaly, is presented. Her epigastric pain, with a 35-yr history, was relieved by cholecystectomy. The septa were present only at the neck portion of the gallbladder and were lined by mucosal epithelium containing a muscular layer continuous to the gallbladder wall. A review of 26 patients (including the present case) reported in the world literature revealed that only two of them had such partial involvement at the infundibulum of the gallbladder.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
10/11. Solitary benign papilloma (papillary adenoma) of the cystic duct: a rare cause of biliary colic.Benign tumours of the extrahepatic bile ducts are rare, mostly occurring in the common bile duct and hepatic ducts. Solitary papillomas occur mainly in the gallbladder or at the ampulla of vater. Tumours of the cystic duct are extremely rare, and we are unaware of any reports of solitary papilloma of the cystic duct. Such a case in a 72-year-old woman is presented.- - - - - - - - - - ranking = 0.125keywords = gallbladder (Clic here for more details about this article) |
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