OBJECTIVE To retrospectively analyse all laparoscopic cholecystectomies performed between April 1992 and May 1999. METHODS Medical records of 2,750 patients, clinically diagnosed with gall bladder disease, were reviewed. We analysed the operative time, length of postoperative hospital stay, conversion rate, intra- and postoperative complications as well as management outcome. RESULTS The me...

Spontaneous gall bladder haemorrhage is a rare and serious occurrence with a few cases reported in the literature in haemodialysis patients. This report describes this complication following dialysis with a low-molecular-weight heparin (LMWH) tinzaparin. This patient presented with acute right upper quadrant pain and intermittent haematemesis following 4 hours of haemodialysis. Despite being we...

Mrs. C. aged fifty, of Cornish origin, who had never lived outside England, was admitted to the Redruth-Camborne hospital suffering from severe recurring upper abdominal pain. For two years previously she had complained of vague epigastric discomfort and flatulence. For the past six months the pain had become colicky in character, increasing in severity and frequency and localized in the right ...

Gall bladder carcinoma is the most common cancer of biliary tree, characterized by rapid progression and a very high mortality rate. Detection at an early stage, however, is indicative of a very good prognosis and prolonged survival. The practice of histopathological examination of gall bladder specimens removed for clinically benign conditions and its usefulness has been a subject of controver...

In India, GI tract cancer is one of the ten leading cancers. Among Indian males it stands second to oral cancer and in females, it shares the third place. Most common malignant disorder of GIT is seen in our country that of liver, bile, gall bladder, pancreas, bile-duct and colorectal. Aim: To see the significance of tumour markers in gall bladder cancer. Materials and Methods: This study compr...

In recent years, bacterial infections are increasing due to emergence of antibiotic resistance. Oxidative stress and gall bladder stones also pose a great health threat to millions. This study attempted the assessment of antibacterial, anti-oxidant and anti-gall bladder stones activity of an important medicinal plant Achyranthes aspera methanolic leaf extract. Anti-bacterial activity was perfor...

This report evaluates the use of a new device for destruction of gall stones, the Kensey-Nash Lithotrite (Baxter Corporation, California, USA). The principle of the instrument is that of a liquidiser with an impeller that emulsifies stones. Twenty five patients were treated; 13 patients were considered unfit for conventional treatment (complex group) and 12 elected to have the procedure (non-co...

A 35-year-old lady presented with abdominal lump in abdomen for the past 2 months. There was no history of hematemesis, altered bowel habits, or jaundice. On examination, two large separate bilateral lumps were palpable. Computerized tomogram (CT) of abdomen revealed two large heterodense masses one from each ovary (Fig. 1a) and an incidental soft tissue lesion in fundus of the gall bladder, wh...

The objective of this investigation was to study the histological structure of the gall bladder in the common quail (Coturnix coturnix). Samples were obtained from six male and six female healthy adult common quail. Tissue sections were stained with haematoxylin and eosin. Histological results showed that the overall histology of the gall bladder of the common quail is similar to that in the ch...