BACKGROUND AND OBJECTIVES Advances in endoscopic techniques have transformed the management of urolithiasis. We sought to evaluate the role of such urological interventions for the treatment of complex biliary calculi. METHODS We conducted a retrospective review of all patients (n=9) undergoing percutaneous holmium laser lithotripsy for complicated biliary calculi over a 4-year period (12/200...

INTRODUCTION single-stage laparoscopic surgery of cholelithiasis and associated common bile duct stones (CL-CBDS) has shown similar results when compared to laparoscopic cholecystectomy combined with ERCP. Classically, choledochorrhaphy has been protected by a T-tube drain to allow external bypass of bile flow. However, its removal is associated with a significant complication rate. Use of ante...

Background: Hepatolithiasis is characterized by its intractable nature and frequent recurrence, requiring multiple operative interventions. It is very important to diagnose the complex pathology of hepatolithiasis and choose proper surgical procedures. In this study, outcomes of hepatectomy for hepatolithiasis were evaluated in patients who had previously undergone biliary surgery. Methods: Thi...

INTRODUCTION Agenesis of gallbladder is a rare congenital anomaly of biliary tree that may be associated with other biliary and extra biliary congenital anomalies. CASE PRESENTATION A 43- year- old female presented with a 4 months history of upper abdominal pain associated with nausea and vomiting. It was associated with dyspeptic symptoms and become worse following ingestion of high-fat meal...

BACKGROUND Laparoscopic cholecystectomy is the present treatment of choice for patients with gallbladder stones, despite its being associated with a higher incidence of biliary injuries compared with the open procedure. Injuries occurring during the laparoscopic approach seem to be more complex. A complex biliary injury is a disease that is difficult to diagnose and treat. We considered complex...

BACKGROUND Some patients with common bile duct (CBD) stones develop cholangitis requiring drainage, while others do not. The aims of this study were to elucidate the clinical differences among patients with CBD stones who required and did not require emergent drainage, and to identify risk factors for the development of cholangitis requiring emergent drainage in patients with silent CBD stones....

A 14 year old girl with multiseptate gall bladder and cystic dilatation of the biliary tree is presented. This is the 20th published case report of patients with multiseptate gall bladder and only the second to be associated with a choledochal cyst. The cystic spaces of the gall bladder did not communicate with the neck of the gall bladder or the rest of the biliary tree, and this unusual featu...

BACKGROUND Conventional methods for treating patients with recurrent hepatolithiasis associated with complicated intrahepatic biliary strictures include balloon dilatation of the intrahepatic biliary strictures, lithotripsy, and the clearance of difficult stones as completely as possible, with the placement of an external-internal stent for at least 6 months. After these modalities are used, sy...

To cite: Iriyama H, Kato M, Nogami M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207677 DESCRIPTION We present the case of an 89-year-old tiny woman who presented with a 2-day history of fever. Her medical history included gallbladder stones, hypertension, osteoporosis, rheumatoid arthritis and dementia. Vital signs showed an elevated temperature o...