Diagnosis in Sonogram of Gall Bladder

Primary Carcinoma of the Gall Bladder with Gall Stones in Secondary Deposits in the Liver

Gastroenterology ◽

10.1016/s0016-5085(52)80043-5 ◽

1952 ◽

Vol 21 (3) ◽

pp. 429-432

Author(s):

Madeline K. Keech

Keyword(s):

Gall Bladder ◽

Primary Carcinoma ◽

Gall Stones

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Incidence of Gall Bladder Disease in “Normal” Men

Gastroenterology ◽

10.1016/s0016-5085(59)80010-x ◽

1959 ◽

Vol 36 (2) ◽

pp. 251-255 ◽

Cited By ~ 23

Author(s):

Richard S. Wilbur ◽

Robert J. Bolt

Keyword(s):

Gall Bladder ◽

Gall Bladder Disease ◽

Bladder Disease ◽

Normal Men

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Papilloma of the Gall Bladder

Gastroenterology ◽

10.1016/s0016-5085(57)80062-6 ◽

1957 ◽

Vol 32 (4) ◽

pp. 666-674 ◽

Cited By ~ 4

Author(s):

Raymond A. Gagliardi ◽

Philip D. Gelbach

Keyword(s):

Gall Bladder

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Chronic Cholezystitis Misleading as Tumor of the Gall Bladder with Concomitant Liver Abscess

Swiss Surgery ◽

10.1024/1023-9332.7.1.28 ◽

2001 ◽

Vol 7 (1) ◽

pp. 28-31 ◽

Cited By ~ 2

Author(s):

Teebken ◽

Bartels ◽

Fangmann ◽

Nagel ◽

Klempnauer

Keyword(s):

Gall Bladder ◽

Liver Abscess ◽

Solide Tumoren ◽

Fand Sich ◽

Histologische Untersuchung ◽

Chronische Entzündungen

Ein 58jähriger Mann wurde mit Übelkeit, Oberbauchschmerzen, einem palpablen Tumor im rechten oberen Epigastrium und begleitendem Fieber aber fehlender Leukozytose und CRP-Erhöhung aufgenommen. Sowohl die Ultraschalluntersuchung als auch eine im Anschluss durchgeführte Computertomographie deuteten auf einen malignen Tumor der Gallenblase mit Infiltration der Leber und begleitender Abszessformation in den Segmenten 4b und 3 hin. Die Indikation zur Entfernung des Tumors im Sinne einer Hemihepatektomie links mit Cholezystektomie und Abszessdrainage wurde gestellt. Intraoperativ fand sich dann jedoch eine chronisch-eitrige Cholezystitis ohne Beteiligung der Leber selbst, sodass nur eine Cholezystektomie durchgeführt werden musste. Die histologische Untersuchung der Gallenblase erbrachte keinen Hinweis auf ein malignes Geschehen. Der Patient erholte sich gut von dem operativen Eingriff und konnte sieben Tage später entlassen werden. Diese Fallbeschreibung zeigt die Probleme auf, die bei der Differentialdiagnostik von entzündlichen und malignen Gallenblasenerkrankungen mit Beteiligung von angrenzenden Strukturen, insbesondere der Leber, bestehen. Trotz apparativer Untersuchungen wie Sonographie und Computertomogramm ist die letztendlich richtige Diagnose häufig nur intraoperativ zu stellen und erst dann die adäquate Therapie festlegbar. Chronische Entzündungen der Gallenblase können als solide Tumoren imponieren und dann als maligne Prozesse der Gallenblase und der angrenzenden Lebersegmente fehlinterpretiert werden.

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Tc-99m Labeled Complexes of Aldehydes and Glutamate as Cholescintigraphic Agents

Nuklearmedizin ◽

10.1055/s-0038-1624914 ◽

1975 ◽

Vol 14 (04) ◽

pp. 330-338

Author(s):

L. G. Colombetti ◽

J. S. Arnold ◽

W. E. Barnes

Keyword(s):

Nuclear Medicine ◽

Gall Bladder ◽

Rose Bengal ◽

Valence State ◽

Monosodium Glutamate ◽

Kinetic Studies ◽

Scintillation Camera ◽

Blood Clearance ◽

Lower Valence ◽

Wire Basket

SummaryTc-99m pyridoxylidene glutamate has proven to be an excellent biliary scanning agent, far superior in many respect to the commonly used 1-131 rose bengal. The preparation of the compound as previously reported by Baker et al is too time consuming and requires the use of an autoclave which is not available in most nuclear medicine departments. In our facility, we have been preparing similar compounds using several aldehydes and monosodium glutamate to make labeled complexes having the same pharmacological characteristics. The mixture of monosodium glutamate, aldehyde, and Tc-99m pertechnetate is made slightly alkaline, purged with helium, and placed in a sealed vial. The vial, which is protected by a wire basket, is then heated in a laboratory oven at 130° C for a period of 15 to 20 minutes. During this time, the technetium is reduced to a lower valence state and bound to the complex formed. Chromatographic data show that these compounds are chemically similar to that previously reported. The compounds prepared concentrate in the gall bladder of the rabbit in less than 10 minutes. Kinetic studies have been performed on dogs with a scintillation camera and small digital computer to measure rates of blood clearance, liver and gall bladder uptake, and excretion into the intestine. The aldehyde — glutamate complex promises to be a useful scanning agent for the diagnosis of biliary and hepatocellular diseases.

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Laparoscopic Cholecystectomy in Acute Gall Bladder Disease

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v24i1.140 ◽

1970 ◽

Vol 24 (1) ◽

pp. 10-13

Author(s):

TK Maitra ◽

NA Alam ◽

E Haque ◽

MH Khan ◽

HK Chowdhury

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gall Bladder ◽

Acute Cholecystitis ◽

Early Phase ◽

Gall Bladder Disease ◽

Laparoscopic Procedure ◽

Bladder Disease ◽

Complication Of Surgery

Laparoscopic cholecystectomy is one of the procedures through which gall bladder can be removed. Acute cholecystitis was considered a contraindication for laparoscopic procedure but with time and experience this shortcoming is now overcome. Here is a study of 32 patients who were selected for laparoscopic cholecystectomy. Among them, 29 patients were operated by laparoscopic method and rest three patients were converted. This study showed the appropriate time for surgery, technical difficulties and the complication of surgery. It may be concluded that laparoscopic cholecystectomy is feasible and beneficial to the patient with acute cholecystitis in its early phase, if necessary support and expertise is available. (J Bangladesh Coll Phys Surg 2006; 24: 10-13)

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