one of the complications of Beta-thalasemia major is hepatobiliary disorders for example cholelithiasis(Gallstone),in this study frequency of hepatobiliary ultra sound abnormal findings in 200 patients in Kerman was investigated.among 200 patients ,11(5.5%) had gallstone.the average age of patients without  gallstone was 10.07+_4.9 years and that of patients with  gallstone was 16.1+_5 years.th...

BACKGROUND No cause has been determined for chest pain that is neither cardiac nor oesophageal in origin. AIMS To compare the prevalence of life-time psychiatric disorders and current psychological distress in three consecutive series of patients with chronic chest or abdominal pain. PATIENTS Thirty nine patients with non-cardiac chest pain and no abnormality on oesophagogastroduodenoscopy,...

gastrointestinal obstruction by a gallstone is an uncommon but important complication of biliary stone disease which mostly affects the elderly. the classic triad of radiological features includes pneumobilia, ectopic gallstone and evidence of intestinal obstruction. terminal ileum is the most common site of obstruction, followed by jejunum and gastric outlet. we present a case of duodenal gall...

Gallstone ileus is a rare cause of mechanical bowel obstruction due to the passage of a solitary large gallstone into the gastrointestinal tract through a cholecystoenteric fistula [1]. Early surgical intervention is the treatment of choice; however, the surgical mortality rate is high as most patients are elderly and many suffer from concomitant diseases [2]. Ultrasound-guided extracorporeal s...

BACKGROUND Lithogenic bile is the major cause of cholesterol gallstone, but its pathogenesis is not well understood. The hypersecretion of biliary cholesterol is believed to be an important cause of lithogenic bile. Sterol Carrier Protein 2 (SCP2) participates in cholesterol trafficking and lipid metabolism in hepatocytes and may play a key role in cholesterol gallstone formation. METHODS 21 ...

Gallstones are among common complaints of human societies. Its prevalence has been estimated about 10% in western societies. As operational manipulation is still the method of choice in symptomatic gallstones, post-operative side effects and complaints, like remained gallstone in common bile duct, are studied. In a retrospective study we have reviewed the files of the patients hospitalized in S...

INTRODUCTION Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present with biliary symptoms without evidence of gallbladder stones - referred to as acalculous gallstone disease. This case report details a rare case of chronic biliary colic associated with ketamine abuse. CASE PRESENTATION A 24-year-ol...

A 95-year-old woman with a virgin abdomen presented to the Emergency Department (ED) with a 1 week history of vomiting, absolute constipation and generalised abdominal pain. Physical examination revealed tender abdominal distension with hyperactive bowel sounds and no hernias. Abdominal plain film radiograph (PFR) showed dilated small bowel loops without an obvious transition point or a radiolo...

A 42-year-old female patient was admitted to our hospital with a complaint of recurrent right upper quadrant pain. The pain was associated with dyspepsia especially after fatty foods. Physical examination and laboratory tests (CBC, liver function tests, serum amylase, gamma glutamyl transpeptidase, and alkaline phosphatase levels, hydatid cyst tests) revealed no abnormality. An abdominal US was...