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...

Pulpal pain does not refer to an endodontically treated tooth. Nevertheless, such a potential may exist based on a learned phenomenon due to previous treatment experiences but is rarely reported. Further, it is seldom reported to occur with atypical features. This case report is on a patient who was presented with pain in endodontically treated lower first molar (36) and recommended to undergo ...

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...

An 82-year-old woman without any previous medical history arrived in the emergency department with severe pain in the entire abdomen since 5 h. Blood tests showed, apart from a CRP of 28 mg/l, no abnormalities. We decided to perform an abdominal ultrasound, which showed an easily compressible gallbladder, containing a small, mobile gallstone and free fluid in the abdomen. During ultrasound-guid...

  Introduction: Despite presence of a body of evidence in support of high accuracy of cholecystokinin cholescintigraphy (CCK-CS) , for diagnosis of chronic cholecystitis(CC) , some authors have claimed that  gallbladder ejection fraction (GBEF)  has poor predictive diagnostic values. The purpose of this study was to determine if there is any difference in GBEF between...

This report shows an orthodontic treatment case with a pain disorder. The patient complained of impaired molar masticatory function after a first orthodontic treatment. The lower midline was shifted to the right direction caused by initial occlusal contact at second molars. She had also severe upper molar spontaneous pain, although there was no organic disease at this area. During second orthod...

Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy ...

Gall stones related complications are very common in the world, Bouveret’s syndrome is one of rare (1-3%). presents a diagnostic and therapeutic challenge. We present case an 80-year-old lady diagnosed with gastric outlet obstruction jejunal impaction gallstones, because gallstone impacted jejunum 50 cm from duodenojejunal flexure. The patient was operated on enterotomy retrieval gall jejunum, ...