Database : MEDLINE
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[PMID]: 25136434
[Au] Autor:Pastor-Ramos V; Cuervo-Díaz A; Aracil-Kessler L
[Ad] Address:MD, DDs, PhD. Private practice, Madrid. Spain.
[Ti] Title:Sialolithiasis. Proposal for a new minimally invasive procedure: Piezoelectric surgery.
[So] Source:J Clin Exp Dent;6(3):e295-8, 2014 Jul.
[Is] ISSN:1989-5488
[Cp] Country of publication:Spain
[La] Language:eng
[Ab] Abstract:Sialolithiasis is the presence of stones in the ducts of the salivary glands. Most episodes are unique, and 60-80% are located exclusively in the main excretory duct. The main clinical manifestations are swelling and pain typically before, during or after meals that decreases if the obstruction is not complete. The highest prevalence of lithiasis is in the submandibular gland -87%-, whose secretion is more viscous, followed by the parotid gland -10%- and finally the sublingual gland -3%-. The most significant consequences are caused by the prolonged blockage of the duct by a stone, which can produce a persistent ductal dilatation with a swelling that does not subside, and could lead to the complete degeneration of the parenchyma, becoming a hot spot where secondary infections may occur, leading to acute bacterial sialadenitis or glandular abscesses. Treatment options range from a single probing extraction, extraction with sialographic control using the sialoendoscope, LASER intraductal lithotripsy, lithotripsy extracorporeal shock wave (ESWL), to the surgical techniques combining open duct with endoscopic or glandular removal. We propose, with regard to a case, the use of a simple piezoelectric device which, tunnelling through the glandular channel by the ostium, allows stone fragmentation, without damaging the surrounding soft tissue. Stone removal by this less invasive method reduces the need for more complex and expensive techniques. The postoperative course without retraction of the ostium, and the regaining of functionality is favourable. Key words:Calculus, lithotripsy, minimally invasive therapy, piezoelectric surgery, salivary glands, soft tissues.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1408
[Cu] Class update date: 140821
[Lr] Last revision date:140821
[Da] Date of entry for processing:140819
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.4317/jced.51253

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[PMID]: 24170283
[Au] Autor:Komínek P; Doskárová S; Svagera Z; Lach K; Cervenka S; Zeleník K; Matousek P
[Ad] Address:Department of Otolaryngology, University Hospital Ostrava, 17. listopadu Street 1790, 708 52, Ostrava Poruba, Czech Republic, pavel.kominek@fno.cz.
[Ti] Title:Lacrimal sac dacryoliths (86 samples): chemical and mineralogic analyses.
[So] Source:Graefes Arch Clin Exp Ophthalmol;252(3):523-9, 2014 Mar.
[Is] ISSN:1435-702X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: Because dacryoliths occur at low frequency, few studies have focused on their composition. We aimed to present findings from morphological, chemical, and mineralogic analysis of 86 dacryoliths. METHODS: We studied 86 dacryoliths obtained during 832 dacryocystorhinostomies (DCR) performed for postsaccal obstruction. We examined the samples with atomic infrared spectrometry (80 samples), amino acid analysis (17 samples), scanning electron microscopy, and an electron microprobe with an energy dispersive detector (seven samples). RESULTS: Dacryoliths were found in 86/832 DCRs (10.3 %), mostly in patients with primary acquired nasolacrimal duct obstruction. All the dacryoliths were soft, composed of organic material, including proteins and mucoproteins, with approximately 20 % amino acid content. There were no "hard" dacryoliths composed of calcium phosphate. The stones were composed of lobes and lobules built on an amorphous core material with small cavities, probably as a result of various chemical processes that produced a gaseous product. The most frequent elements found in inorganic inclusions were silicon, magnesium, sulfur, potassium, calcium, sodium, and chlorine. Also, some particles had high contents of bismuth, titanium, iron, and organic fibers. The fibers found in the core of dacryoliths suggested a potential origin from cotton swabs used in cosmetics. CONCLUSION: Dacryoliths are composed almost exclusively of organic material, including proteins and mucoproteins, with approximately 20 % amino acid content.
[Mh] MeSH terms primary: Calculi/chemistry
Lacrimal Apparatus Diseases/diagnosis
Lithiasis/chemistry
Lithiasis/diagnosis
Nasolacrimal Duct/pathology
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Aged, 80 and over
Amino Acids/analysis
Calcium/analysis
Calculi/ultrastructure
Child
Child, Preschool
Dacryocystorhinostomy
Electron Probe Microanalysis
Female
Humans
Infant
Lacrimal Apparatus Diseases/surgery
Lithiasis/surgery
Male
Microscopy, Electron, Scanning
Middle Aged
Mucoproteins/analysis
Spectroscopy, Fourier Transform Infrared
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Amino Acids); 0 (Mucoproteins); SY7Q814VUP (Calcium)
[Em] Entry month:1408
[Js] Journal subset:IM
[Da] Date of entry for processing:140303
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1007/s00417-013-2501-6

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[PMID]: 23334384
[Au] Autor:Edvardsson VO; Goldfarb DS; Lieske JC; Beara-Lasic L; Anglani F; Milliner DS; Palsson R
[Ad] Address:The Rare Kidney Stone Consortium, Mayo Clinic, Rochester, MN, USA. vidare@landspitali.is
[Ti] Title:Hereditary causes of kidney stones and chronic kidney disease.
[So] Source:Pediatr Nephrol;28(10):1923-42, 2013 Oct.
[Is] ISSN:1432-198X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:Adenine phosphoribosyltransferase (APRT) deficiency, cystinuria, Dent disease, familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC), and primary hyperoxaluria (PH) are rare but important causes of severe kidney stone disease and/or chronic kidney disease in children. Recurrent kidney stone disease and nephrocalcinosis, particularly in pre-pubertal children, should alert the physician to the possibility of an inborn error of metabolism as the underlying cause. Unfortunately, the lack of recognition and knowledge of the five disorders has frequently resulted in an unacceptable delay in diagnosis and treatment, sometimes with grave consequences. A high index of suspicion coupled with early diagnosis may reduce or even prevent the serious long-term complications of these diseases. In this paper, we review the epidemiology, clinical features, diagnosis, treatment, and outcome of patients with APRT deficiency, cystinuria, Dent disease, FHHNC, and PH, with an emphasis on childhood manifestations.
[Mh] MeSH terms primary: Adenine Phosphoribosyltransferase/deficiency
Cystinuria/genetics
Dent Disease/genetics
Hypercalciuria/genetics
Hyperoxaluria, Primary/genetics
Kidney Calculi/genetics
Metabolism, Inborn Errors/genetics
Nephrocalcinosis/genetics
Renal Insufficiency, Chronic/genetics
Renal Tubular Transport, Inborn Errors/genetics
Urolithiasis/genetics
[Mh] MeSH terms secundary: Adenine Phosphoribosyltransferase/genetics
Animals
Child
Cystinuria/diagnosis
Cystinuria/epidemiology
Cystinuria/therapy
Dent Disease/diagnosis
Dent Disease/epidemiology
Dent Disease/therapy
Genetic Predisposition to Disease
Heredity
Humans
Hypercalciuria/diagnosis
Hypercalciuria/epidemiology
Hypercalciuria/therapy
Hyperoxaluria, Primary/diagnosis
Hyperoxaluria, Primary/epidemiology
Hyperoxaluria, Primary/therapy
Kidney Calculi/diagnosis
Kidney Calculi/epidemiology
Kidney Calculi/therapy
Metabolism, Inborn Errors/diagnosis
Metabolism, Inborn Errors/epidemiology
Metabolism, Inborn Errors/therapy
Nephrocalcinosis/diagnosis
Nephrocalcinosis/epidemiology
Nephrocalcinosis/therapy
Phenotype
Prognosis
Renal Insufficiency, Chronic/diagnosis
Renal Insufficiency, Chronic/epidemiology
Renal Insufficiency, Chronic/therapy
Renal Tubular Transport, Inborn Errors/diagnosis
Renal Tubular Transport, Inborn Errors/epidemiology
Renal Tubular Transport, Inborn Errors/therapy
Risk Factors
Urolithiasis/diagnosis
Urolithiasis/epidemiology
Urolithiasis/therapy
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Name of substance:EC 2.4.2.7 (Adenine Phosphoribosyltransferase)
[Em] Entry month:1403
[Cu] Class update date: 140820
[Lr] Last revision date:140820
[Js] Journal subset:IM
[Da] Date of entry for processing:130826
[St] Status:MEDLINE
[do] DOI:10.1007/s00467-012-2329-z

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[PMID]: 23313288
[Au] Autor:Amón JH; Pérez Fentes D; Resel L; Galán JA; Serrano A; Servera A; Alvarez-Osorio JL; Ballestero R; Cao E; Arzoz M; Navarro P; Rigabert M; Sánchez M
[Ad] Address:Hospital Universitario, Río Hortega, Valladolid, España. amonsesmero@gmail.com
[Ti] Title:El aprendizaje de la nefrolitectomía percutánea en posición supina. Estudio observacional multicéntrico. [Learning of percutaneous nephrolithotomy in supine position. An observational multicenter study].
[So] Source:Actas Urol Esp;37(4):214-20, 2013 Apr.
[Is] ISSN:1699-7980
[Cp] Country of publication:Spain
[La] Language:spa
[Ab] Abstract:OBJECTIVE: To prospectively study the post-operative results and complications of percutaneous nephrolithotomy (PNL) in supine position to assess difficulty of learning it and how experience affects the results. To establish a relative comparison with the data published in the literature on the prone position. MATERIAL AND METHODS: A prospective observational multicenter study on PNL in Valdivia position or in its Galdakao variant was performed. Demographic variables and specific variables related to the lithiasis were collected. Technical aspects, surgery time, success rate and complications according to the Clavien-Dindo classifications were assessed. RESULTS: A total of 335 PNL in supine position conducted in 13 Spanish centers were registered from September 2008 to June 2011. The man:woman ratio was 1:1.28 and mean age 51.3+14.5 years. 211 (63%) cases were performed by urologists with experience in >50 cases and 124 (37%) by urologists with less experience. Mean operation time was 113.3 ± 46.4 min, 106.6 ± 38.2 for the experienced ones vs. 124.9 ± 56.2 in the novice ones (P<.002). No difference was detected in the mean size of the lithiasis. However, in the experienced group, there was a greater proportion of coraliform cases and multiple lithiasis than in the novice group (P<.001). Success rate evaluated as total absence of lithiasic residuals was 69.6%, without differences between groups (68.2 vs. 71.8%). In 102 (30.6%) patient had residual lithiasis and 60 (17,9%) required complementary treatment. Relative global success rate was 82.1% and complications rate 25.4%, without detecting differences between groups. However, the novel group had more major complications (P>.001). CONCLUSION: The PNL in supine position is obtaining rapid and consolidated diffusion in our setting and its effectiveness and safety seems to be equivalent to that described in the literature for PNL in prone position. It is possible to obtain good results with a modest learning curve. The rate of greater complications associated to the procedure decreases with experience.
[Mh] MeSH terms primary: Learning Curve
Nephrostomy, Percutaneous/methods
Patient Positioning
[Mh] MeSH terms secundary: Female
Humans
Male
Middle Aged
Prospective Studies
Supine Position
Urology/education
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Entry month:1408
[Js] Journal subset:IM
[Da] Date of entry for processing:130401
[St] Status:MEDLINE

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[PMID]: 23058994
[Au] Autor:Morán E; Budía A; Broseta E; Boronat F
[Ad] Address:Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España. edumoran@comv.es
[Ti] Title:Fitoterapia en Urología. Evidencia científica actual de su aplicación en urolitiasis, dolor pélvico crónico, disfunción eréctil e infecciones urinarias. [Phytotherapy in urology. Current scientific evidence of its application in urolithiasis, chronic pelvic pain, erectile dysfunction and urinary tract infections].
[So] Source:Actas Urol Esp;37(3):174-80, 2013 Mar.
[Is] ISSN:1699-7980
[Cp] Country of publication:Spain
[La] Language:spa
[Ab] Abstract:OBJECTIVE: To assess the usefulness of phytotherapy in urolitiasis, urinary tract infections, erectile dysfunction (ED) and chronic prostatitis/chronic pelvic pain (CP/CPP). ACQUISITION OF THE EVIDENCE: Systematic review of the evidence published until January 2011 using the following scientific terms:phytotherapy, urinary lithiasis, Chronic prostatitis, chronic pelvic pain, erectile dysfunction, urinary tract infection, cystitis and the scientific names of compounds following the rules of the International Code of Botanical Nomenclature. The databases used were Medline and The Cochrane Library.We included articles published until January 2011 written in English and Spanish. We included studies in Vitro/in vivo on animal models or human beings. Exclusion criteria were literature not in English and Spanish or articles with serious methodological flaws. SYNTHESIS OF THE EVIDENCE: We included 86 articles selecting 40 that met the inclusion criteria. In Urolitiasis there are few works in humans. The phytate has its main use as prevention and in reducing the growth of residual fragments after extracorporeal shock wave lithotripsy (ESWL). In CP/CPP the only compound that has shown effectiveness was the extract of pollen in a field of multimodal treatment. In DE ther is no evidence for the use of herbal medicine.Most of the works have limitations in the design or low sample size. In urinary tract infections most of the products are diuretics .There is only evidence for the cranberry as prevention in young or pregnant women. It must not be used as a treatment for urinary tract infections. CONCLUSIONS: Phytotherapy is usefull in repeat urinary tract infections and the CP/CPP. It has some role in the urolitiasis and lacks useful in the DE.
[Mh] MeSH terms primary: Erectile Dysfunction/drug therapy
Phytotherapy
Prostatitis/drug therapy
Urinary Tract Infections/drug therapy
Urolithiasis/drug therapy
[Mh] MeSH terms secundary: Female
Humans
Male
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1408
[Js] Journal subset:IM
[Da] Date of entry for processing:130311
[St] Status:MEDLINE

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[PMID]: 25017280
[Au] Autor:Lee CC; Chao AS; Chang YL; Peng HH; Wang TH; Chao A
[Ad] Address:Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan....
[Ti] Title:Acute pancreatitis secondary to primary hyperparathyroidism in a postpartum patient: a case report and literature review.
[So] Source:Taiwan J Obstet Gynecol;53(2):252-5, 2014 Jun.
[Is] ISSN:1875-6263
[Cp] Country of publication:China (Republic : 1949- )
[La] Language:eng
[Ab] Abstract:OBJECTIVE: Primary hyperparathyroidism (PHPT) is a rare clinical entity in reproductive women. Unusual hypercalcemia causing pancreatitis in the peripartum period carries significant morbidity to both the fetus and the mother. CASE REPORT: A 38-year-old woman developed a morbid course of intractable intra-abdominal abscess by pancreatitis, hydronephrosis by renal lithiasis, and unusual neurological presentations soon after delivery. Serial serum calcium level and imaging studies lead to the final diagnosis of PHPT due to a parathyroid adenoma. Data on 14 patients who suffered from pancreatitis due to hyperparathyroidism were collected from a MEDLINE search. The reasons for delayed diagnosis and literature review of acute pancreatitis in PHPT are discussed. CONCLUSION: Hypercalcemia can be masked during pregnancy and in severe pancreatitis, as was detected in about half of the case series. Clinicians should have a high level of suspicion of parathyroid adenoma in cases with a profound pancreatitis. Timely diagnosis and early therapeutic intervention are important to resolve complications and improve the outcomes of mothers and fetuses.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Js] Journal subset:IM
[St] Status:In-Process

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[PMID]: 24119074
[Au] Autor:Rodgers AL
[Ad] Address:Department of Chemistry, University of Cape Town, Cape Town, South Africa.
[Ti] Title:Urinary saturation: casual or causal risk factor in urolithiasis?
[So] Source:BJU Int;114(1):104-10, 2014 Jul.
[Is] ISSN:1464-410X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To assess (i) the extent to which urinary supersaturation (SS) has successfully discriminated between stone formers and healthy individuals (N), (ii) whether absolute SS has diagnostic worth and (iii) whether high SS is the fundamental cause of stone formation per se. MATERIALS AND METHODS: Google Scholar was used to identify studies in which urinary compositional data had been determined. In those cases where SS values were not given, or where other risk indices had been reported, they were (re-)calculated. Collected data were termed 'global' but were then 'filtered' according to stone type and protocols used for SS calculations. SS distribution plots for calcium oxalate, brushite and uric acid were constructed. Data were statistically analysed using the unpaired t-test and Mann-Whitney test. RESULTS: In all, 47 studies yielded 123 SS values for healthy individuals and 122 values for stone formers. The mean and median SS values were significantly greater in stone formers compared with healthy individuals in all but one of the comparisons. Wide variations in SS occurred for healthy individuals and stone formers. The two groups could not be separated. CONCLUSIONS: Absolute SS has no diagnostic worth. It is impossible to quantify the meaning of a 'high' SS value. Urines cannot be identified as originating from healthy individuals or stone formers based on their SS. SS should be determined in clinical and research settings for relative comparisons during the assessment of treatment efficacies. This study provides a compelling argument for SS being a casual factor rather than a causal one.
[Mh] MeSH terms primary: Calcium Oxalate/urine
Oxalates/urine
Uric Acid/urine
Urolithiasis/urine
[Mh] MeSH terms secundary: Humans
Risk Factors
Urolithiasis/diagnosis
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Name of substance:0 (Oxalates); 2612HC57YE (Calcium Oxalate); 268B43MJ25 (Uric Acid)
[Em] Entry month:1408
[Js] Journal subset:IM
[Da] Date of entry for processing:140626
[St] Status:MEDLINE
[do] DOI:10.1111/bju.12481

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[PMID]: 25011376
[Au] Autor:El Hage RG; Nassif C; Rassi SJ
[Ti] Title:Rhinoliths: an unusual diagnosis of nasal obstruction.
[So] Source:J Med Liban;62(2):119-22, 2014 Apr-Jun.
[Is] ISSN:0023-9852
[Cp] Country of publication:Lebanon
[La] Language:eng
[Ab] Abstract:In our modern medical practice, rhinoliths are a rare occurrence, but they ought to be considered in the differential diagnosis of a long-standing nasal obstruction. They are known to cause unilateral nasal discharge, facial pain, headache, epistaxis, and nasal obstruction. We present two cases that we encountered in our practice, and discuss them with a review of the existing literature.
[Mh] MeSH terms primary: Lithiasis/complications
Nasal Obstruction/etiology
[Mh] MeSH terms secundary: Adult
Female
Humans
Lithiasis/diagnosis
Lithiasis/surgery
Male
Nasal Obstruction/diagnosis
Nasal Obstruction/surgery
Young Adult
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1408
[Js] Journal subset:IM
[Da] Date of entry for processing:140711
[St] Status:MEDLINE

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[PMID]: 24999474
[Au] Autor:Ito K; Igarashi Y; Okano N; Mimura T; Kishimoto Y; Hara S; Takuma K
[Ad] Address:Division of Gastroenterology and Hepatology, Toho University, Omori Medical Center, 6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan....
[Ti] Title:Efficacy of combined endoscopic lithotomy and extracorporeal shock wave lithotripsy, and additional electrohydraulic lithotripsy using the SpyGlass direct visualization system or X-ray guided EHL as needed, for pancreatic lithiasis.
[So] Source:Biomed Res Int;2014:732781, 2014.
[Is] ISSN:2314-6141
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:INTRODUCTION: To evaluate the efficacy of combined endoscopic lithotomy and extracorporeal shock wave lithotripsy (ESWL), and additional electrohydraulic lithotripsy (EHL) as needed, for the treatment of pancreatic duct stones, we retrospectively evaluated 98 patients with chronic pancreatitis and pancreatic lithiasis. METHODS: For the management of main pancreatic duct (MPD) stones in 98 patients, we performed combined endoscopic treatment (ET)/ESWL therapy as the first treatment option. When combined ET/ESWL was unsuccessful, EHL with the SpyGlass Direct Visualization system or X-ray guided EHL was performed. Outpatient ESWL was reserved as one of the final treatment options. RESULTS: Fragmentation was successful in 80 (81.6%) patients as follows: combined ET/ESWL: 67 cases; SpyGlass EHL: 4 cases; X-ray guided EHL: 3 cases; and outpatient ESWL: 6 cases. Successful outcome was obtained by combined ET/ESWL in 67 of the 98 patients (74.5%), by EHL in 7 of 14 patients (7.1%), and by outpatient ESWL in 6 of 6 patients (6.1%). Negotiating the guidewire through a severe MPD stricture was significantly associated with a higher rate of stone fragmentation (P = 0.0003). CONCLUSIONS: In cases where combined ET/ESWL was not successful for stone clearance, EHL using the SpyGlass system or X-ray guided EHL was effective in cases where the guidewire could be negotiated through the MPD stricture and it increased the fragmentation rate.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1155/2014/732781

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[PMID]: 24504848
[Au] Autor:Carriel V; Aneiros-Fernández J; Ruyffelaert M; Arias-Santiago S; Riady V; Izquierdo-Martínez F; Roda O; Cornelissen M; Campos A; Alaminos M
[Ad] Address:Department of Histology (Tissue Engineering Group), University of Granada, Granada, Spain, Department of Basic Medical Sciences, Faculty of Medicine, Ghent University, Ghent, Belgium, and Pathology Unit, San Camilo Hospital, University of Valparaíso, San Felipe, Chile. vcarriel@ugr.es....
[Ti] Title:Histological and immunohistochemical study of an unusual type of gallbladder duplication.
[So] Source:Histol Histopathol;29(7):957-64, 2014 Jul.
[Is] ISSN:1699-5848
[Cp] Country of publication:Spain
[La] Language:eng
[Ab] Abstract:Gallbladder duplication is a rare congenital anomaly, with an incidence of 1 in 3,800 autopsies. The correct diagnosis and treatment of this type of entity is important in clinical practice, because it may cause some clinical and surgical problems. In this report, we present the clinical case of a 28-year-old female with abdominal pain. Ultrasound of the upper abdomen showed a distended gallbladder with the presence of a septum that could suggest a congenital anomaly of the extrahepatic biliary system. During surgery, a distended and inflamed gallbladder with a lithiasis was found. In addition, a complete septum and double cystic duct were observed. The gross and histopathological evaluation of the surgical specimen allowed us to confirm the diagnosis of a Y- shaped type gallbladder duplication according to Boyden's classification. In conclusion, in presence of an atypical imaging of the gallbladder, diagnosis of this group of congenital anomalies should be considered in order to adequately plan surgical intervention if necessary.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1407
[Js] Journal subset:IM
[St] Status:In-Process


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