A 50-year-old woman with a history of uncomplicated Crohn’s disease presented for esophagogastroduodenoscopy (EGD) for evaluation of acute epigastric pain, nausea, and bilious vomiting. EGD revealed retained food in the stomach and what appeared to be a large, approximately 2-cm obstructing gallstone in the duodenal bulb (Figure 1). After multiple instruments failed to retrieve the gallstone, a...

Bouveret syndrome is a rare form of gallstone ileus. The purpose of the present study was to present the unusual case of a female patient with complicated cholelithiasis manifested as a combination of acute pancreatitis and concomitant Bouveret syndrome. A 61-year-old female patient was admitted to the emergency department complaining of mid-epigastric and right upper quadrant abdominal pain ra...

DESCRIPTION A91-year-oldwoman presentedwith abdominal distension and pain. She had not vomited and opened her bowels only with scanty stool. On examination she was tachycardic with a distended abdomen with left-sided tenderness. On admission her C reactive protein was 77 mg/l, white cell count of 9.9×10l and normal liver function tests. Abdominal plain films revealed dilated large bowel. Subseq...

We present a 72-year-old female patient complaining of pain and distention of the abdomen, nausea and vomiting. No history of previous abdominal surgery, hernias or biliary disease was present. Plain abdominal x-rays showed small bowel obstruction. This mechanical obstruction of the gastrointestinal truct was caused by a gallstone in the terminal ileum.

An 83 year old caucasian gentleman presented with vomiting and left sided abdominal pain. A subsequent upper GI endoscopy demonstrated a large smooth mass impacted within the duodenum. A cholecysto-duodenal fistula was discovered at laparotomy, with a large gallstone impacted in the duodenum. A diagnosis of Bouveret's syndrome was made. The management of this rare cause of gastric outlet obstru...

Background. Assessment of gallstone surgery's impact on quality of life (QoL) requires a reliable instrument with sufficient responsiveness. The instrument should also enable estimation of each individual's expected condition in an unaffected state. Materials and Methods. The Swedish Register for Gallstone Surgery and ERCP (GallRiks) registers indications, complications, results, and QoL-outcom...

Introduction: Gallstone ileus is a rare complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Concomitant co–morbidities are frequent in older patients and responsible for the high mortality rate. The aim of the present study was to evaluate and discuss different surgical approaches and to analyze the clinical outcome. Case Series: Over a period...

Chest pain is a common reason why patients seek medical consultation. Chest pain can be caused by life-threatening diseases and requires extensive diagnostic evaluation, especially to exclude acute cardiac pathologies. However, in the case of atypical chest pain with a normal electrocardiogram and serum levels of myocardial necrosis markers with in the reference ranges, non-cardiac causes of ch...

BACKGROUND The goal of the study was to assess the state of coronary arteries in perimenopausal women undergoing examination before prescription of hormonal replacement therapy. METHODS One hundred ninety-three patients were screened, and 43 of them were selected for inclusion to the study. Pretest probability of coronary heart disease (CHD) was 47% for patients with typical angina pain and 2...

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...