The localised PET cerebral correlates of the painful experience in the normal human brain have previously been demonstrated. This study examined whether these responses are different in patients with chronic atypical facial pain. The regional cerebral responses to non-painful and painful thermal stimuli in six female patients with atypical facial pain and six matched female controls were studie...

Gallstone ileus is an uncommon cause of small bowel obstruction, mainly affecting elderly patients. The most common cause is impaction of a stone in the ileum after passing through a biliary-enteric fistula (1). Jejunal perforation is a rare complication of gallstone ileus. We present a case of jejunal diverticular perforation secondary to gallstone ileus, produced by diverticulum wall necrosis...

BACKGROUND It has always been a challenge to distinguish between upper gastrointestinal symptoms due to gall stones or any other causes. The persistence of abdominal symptoms even after cholecystectomy is highly discouraging for surgeons. OBJECTIVE To evaluate the value of preoperative (UGE) as a routine investigative tool in patients with gall stone disease and to assess the outcome of chole...

n 84-year-old woman presented with a 2-day history f jaundice, fever and abdominal pain. Physical examiation showed scleral icterus and right upper quadrant enderness without inspiratory arrest at palpation (absent urphy’s sign). Laboratory workup revealed leukocytosis 12.4 × 103 L), elevated C-reactive protein (8.3 mg/dL) nd cholestasis (bilirubin 5.4 mg/dL, alkaline phosphatase 893 U/L, gamma...

So far, spiramycin-associated acute pancreatitis has not been reported in literature. In this letter, it was presented that A 63-year-old female subject was experienced acute pancreatitis 4 days after taking spiramycin for therapy of dental infection, as an unusual approach. She was prescribed spiramycin tablet for dental infection, and in 4th day, she admitted to emergency service with severe ...

Heterotopic gastric mucosa in the gallbladder is an unusual entity and is usually clinically silent. We report a 75-year-old female patient who presented with intermittent upper abdomial pain radiating to the back. Abdominal imaging studies showed a sessile polypoid lesion and a gallstone in the gallbladder. Gallbladder carcinoma was suspected and cholecystectomy performed. Intraoperative froze...

Abstract Gallstone ileus is an uncommon presentation in patients with acute abdomen. Its diagnosis and treatment are often delayed due to its nonspecific clinical presentation. Presence of gallstone ileum can be difficult detect on computed tomography (CT) as mostly they lucent. We report the case a 66-year-old man 1-day history vomiting abdominal bloating. Initial CT could not identify obstruc...

we present a female patient with atypical chest pain who was referred to our department for ischemia evaluation. 99mtc-mibi myocardial perfusion scan with dipyridamole stress was performed. sub-diaphragmatic activity in the hepatic tissue and then in the bowel loops caused severe overlap on the inferior wall even on consecutive delayed images. dipyridamole stress was repeated for the patient wi...

BACKGROUND In a previous study, we found that gallstones were a common occurrence in the high altitude villages of the Peruvian Andes. AIMS To determine if high altitude (> or = 1500 m) is a contributing risk factor for gallstone disease. METHODS We conducted a cross sectional study in a periurban community in Lima, Peru, and compared the prevalence of gallstone disease between coastal nati...

BACKGROUND In this study, we evaluated the association between these polymorphisms and gallstone disease using meta-analysis and compared the hepatic ABCG5/G8 mRNA expression and biliary lipids composition in patients with different genotypes of T400K and Y54C. METHODS Data were analyzed using the Stata/SE 11.0 software and a random- effects model was applied irrespective of between-study het...