aim : to determine the co-incidence of gallstones with upper gi disease in patients who were candidate for elective cholecystectomy. background : typical pain of gallstones frequently cause special pattern which can usually be distinguished from symptoms of other organic and functional diseases. but patient with cholelithiasis and atypical pattern of abdominal pain seems to bring about a challe...

Background & aims: Gallstone disease is common, costly and its complications are sometimes life threatening. The aim of this thesis is to determine the prevalence and incidence in relation to putative risk factors in the general population. Furthermore, to identify individuals with asymptomatic gallstones who are at risk of developing complications and, finally, to identify those who are at ris...

Acute cholangitis is a well-known biliary tree pathology most often encountered in patients with gallstone disease. When left untreated, acute can lead to severe complications, including death. Therefore, identifying and properly treating crucial avoiding such complications. This paper describes an 84-year-old female patient who presented atypical symptoms of chest pain cough. The was successfu...

Bouveret syndrome (BS) is an exceptionally rare variant of gallstone ileus, specified by gastric outlet obstruction resulting from migration a large through the bilio-enteric fistula and impacted in pylorus or duodenum. We present atypical case BS. A 60-year old male came Era’s Lucknow medical college who had undergone multiple diagnostic procedures (x-ray kidney ureter bladder, ultrasonography...

with an occurrence of 7%, appendicitis is one of the most common abdominal emergencies requiring surgery. since the variation in positions and length of the appendix may produce varying symptoms and signs which mimic other diseases, having knowledge of the variations in the position of the appendix is of significant importance. here, we present a 77-year-old man with acute appendicitis presenti...

Gallstone ileus is a rare mechanical bowel obstruction, and previously reported cases have been treated laparoscopically with good results. Although transvaginal hybrid NOTES without a minilaparotomy has been reported to decrease the incidence of surgical wound complications, to our knowledge, this procedure has not been used previously to treat gallstone ileus. We present a case of a 63-year-o...

Gallstone ileus is an uncommon complication of cholelithiasis, usually associated with an internal biliary fistula. Management of gallstone ileus is surgical with enterolithotomy the procedure of choice, followed by fistula closure either as a one or two stage procedure. In this case a 66 year old female presented with colicky abdominal pain, computed tomography (CT) clearly showing a gallstone...

We describe the case of a 73-year-old woman was admitted to our hospital because of constant abdominal pain in her right upper quadrant and postprandial bloating and fullness for several months. On abdominal x-ray the extrahepatic bile ducts were positive for gas and on ultrasound a gallstone in the duodenum was suspected whereas the gallbladder was not detectable. An upper gastrointestinal end...