CMV Polymerase Chain Reaction analysis was positive for both serum and bile and a diagnosis of CMV acalculous cholecystitis with haemobilia was established. The patient was treated with intravenous ganciclovir for 25 days followed by 18 days of oral valganciclovir. T-Tube cholangiogram 2 weeks following initial insertion demonstrated no flow out of the common bile duct into the duodenum. A Magn...

Complete or partial avulsion of common bile duct is a very rare injury following blunt abdominal trauma in children. A 7-year old boy presented to ER following blunt abdominal trauma by a moving motorcycle. X ray abdomen revealed free air under diaphragm and CT scan showed pancreatic contusion injury. At operation anterior wall of common bile duct (CBD) along with a 2mm rim of duodenal tissue o...

A non-randomised single centre study of 226 consecutive patients referred over 10 years with retained common bile duct stones and a T tube in situ or a cholecystostomy tube are reported. Percutaneous extraction was attempted in 204 and endoscopic extraction in 68 patients. Percutaneous clearance was achieved in 158 (77.5%) patients and endoscopic clearance in 52 (76.5%) patients. Six of 153 (3....

The optimal timing of percutaneous cholecystostomy for severe acute cholecystitis is unclear. The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 consecutive patients who were admitted to our hospital due to acute cholecystitis and were treated ...

A 58-year-old man with Stage 3b chronic kidney disease and primary hyperparathyroidism treated with cinacalcet was admitted for acute cholecystitis. A cholecystostomy tube was placed, estimated glomerular filtration rate decreased, metabolic acidosis developed and ionized calcium increased from 1.33 to 1.76 mM despite cinacalcet administration. A sodium bicarbonate infusion corrected the metabo...

Spontaneous gallbladder perforation among the pediatric population is a rare occurrence. To date only 8 cases have been described in the English literature in neonates and infants [1-8]. Presenting signs and symptoms vary, as do treatment methodologies. Patients have presented with bilious drainage from peritoneal catheters [1] abdominal distention with discoloration [2] discolored communicatin...

Oxalate nephropathy is a rare pathology that can be difficult to diagnose. It results from calcium oxalate crystals are deposited in the renal interstitium or tubules. Once deposition ensues, multitude of complications occur, including failure. One etiology for lack biliary acid. The diagnosis typically based on visualization tubules biopsy, and treatment range simple removal offending agent ch...

Abstract Background Percutaneous cholecystostomy (PC) has traditionally been reserved for high-risk patients with cholecystitis who are unfit surgical intervention, or as a temporizing measure septic biliary to relieve sepsis and symptoms. However, there currently no guidelines regarding the timing of tube removal following PC. The aim this study is evaluate resolving inflammation patency ducts...