Acute Cholecystitis as an Extrapulmonary Manifestation of Sarcoidosis: A Rare Clinical Presentation

2015 ◽  
Vol 110 ◽  
pp. S51
Author(s):  
Robert Hilton ◽  
Ramy Sedhom ◽  
Daniel Sedhom
2019 ◽  
Vol 12 (4) ◽  
pp. e228306 ◽  
Author(s):  
Ana Sofia Simões ◽  
Andreia Marinhas ◽  
Paulo Coelho ◽  
Sandra Ferreira

Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Abdominal ultrasonography is the first-line exam. Most cases of paediatric acalculous acute cholecystitis have been described in critically ill patients, but can occur in previously healthy children, without underlying diseases or severe conditions. The authors present a clinical report of a child with acalculous acute cholecystitis and enteroviral infection. Diagnosis, treatment, clinical course and prognosis are described. Pathophysiology, aetiology, diagnosis and treatment of acalculous acute cholecystitis are also discussed.


2020 ◽  
Vol 56 (3) ◽  
pp. 152
Author(s):  
Patricia M. Ward ◽  
Kieran Brown ◽  
Gawain Hammond ◽  
Tim Parkin ◽  
Sarah Bouyssou ◽  
...  

ABSTRACT Canine cholelithiasis is considered to be an uncommon condition and is frequently cited as being an incidental finding. However, there is a paucity of contemporary literature to support these assertions. The aim of this retrospective cross-sectional study was to report the prevalence, clinical presentation, and long-term follow-up of cholelithiasis in dogs. The electronic database at the Small Animal Hospital, University of Glasgow was searched to identify dogs that were diagnosed with cholelithiasis on ultrasound between 2010 and 2018. Sixty-eight dogs were identified, giving an overall prevalence of cholelithiasis in our hospital of 0.97% (confidence interval 0.76–1.22%). Medical records of 61 dogs were available for review. Cholelithiasis was classified as an incidental finding in 53 (86.9%) dogs, with 8 (13.1%) dogs being classified as symptomatic, having complications of cholelithiasis that included biliary duct obstruction, biliary peritonitis, emphysematous cholecystitis, and acute cholecystitis. Follow-up was available for 39 dogs, with only 3 dogs (7.7%) developing complications attributed to cholelithiasis, including biliary duct obstruction and acute cholecystitis, within the subsequent 2 yr. Cholelithiasis is an uncommon but frequently incidental finding in dogs. Within the follow-up period, few of the dogs with incidental cholelithiasis went on to be become symptomatic.


2020 ◽  
Vol 65 (2) ◽  
pp. 409-414
Author(s):  
Monika Łącka ◽  
Paweł Obłój ◽  
Piotr Spychalski ◽  
Dariusz Łaski ◽  
Olga Rostkowska ◽  
...  

2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Andreea Bente ◽  
Moussa Ouedraogo ◽  
Kinjal N Kasbawala ◽  
Kristen M Glasgow

Abstract A 29-year-old female presenting with symptoms of biliary colic was found to have a liver mass compressing the cystic duct. Due to the anatomical placement of the growth, the compressed duct produced symptoms mimicking acute cholecystitis. The mass was diagnosed as focal nodular hyperplasia (FNH) upon biopsy. FNH is commonly found incidentally with nonhepatic clinical presentation or during an unrelated surgical procedure. The scope of this paper is to bring awareness to uncommon causes of biliary colic. To our knowledge, there has been one other paper published with FNH being the primary cause of biliary colic.


2015 ◽  
Vol 18 (4) ◽  
pp. 256-265 ◽  
Author(s):  
Venkata S. Katabathina ◽  
Abdul M. Zafar ◽  
Rajeev Suri

2017 ◽  
Vol 4 (2) ◽  
pp. 538 ◽  
Author(s):  
Desh Pal Singh ◽  
Sharadendu Bali ◽  
Maneshwar Singh Utaal

Background: Acute perforation of gall bladder is a life threatening condition. It is a complication of acute cholecystitis. This is not an uncommon condition and resembles acute cholecystitis in its presentation. If there is delay in diagnosis and management there is high morbidity and mortality. It should be diagnosed as early as possible for better prognosis.Methods: This is a retrospective study wherein data of cholelithiasis, acute and chronic cholecystitis and perforated gall bladder from our hospital for the last three years 2014-2016 was collected. The clinical presentation, investigations routine and radiological, surgical and medical management was analysed.Results: Total numbers of patients with chronic cholelithiasis were 3534, patients with acute cholecystitis were 133, and numbers of patients with gall bladder perforations were 22, making it 0.6% of gall bladder disease patients and 16.5% among patients with acute cholecystitis. TLC was invariably raised in all the cases. 12 out of 22 cases were managed conservatively while others underwent surgery. There was no mortality in the series.Conclusions: Gall bladder perforation occurs in about two weeks or several weeks after episode of acute cholecystitis, the incidence of occurrence of perforation increases to four folds if there is delay in proper management of acute cholecystitis more than two days after the onset of symptoms. Clinical presentation varies from an acute generalized peritonitis to nonspecific abdominal symptoms and thus requires prompt diagnosis for better prognosis.


2018 ◽  
Vol 5 (6) ◽  
pp. 2228
Author(s):  
Gopalakrishnan Mohandhas ◽  
Vijayan Nallathambi ◽  
Srinivasan Ravi Iyenkar

Background: Acute cholecystitis (AC) one of the common surgical emergency. Thorough understanding of the profile of clinical presentation may help in clinical decision making in resource poor settings. Hence the present study is conducted with the objectives to study the clinico pathological profile of acute cholecystitis cases presenting to a tertiary care teaching hospital and to describe the management and complications.Methods: A prospective observational study was conducted in the department of emergency and general surgery of Dhanalakshmi Srinivas medical college and hospital. The study included 50 clinically confirmed cases of acute cholestasis presented between June 2017 to December 2017.Results: A total of 50 subjects were included in the final analysis. The highest proportion of subjects were in 46 to 50 years (28%) or 51 and above (26%) age groups. Females (56%) outnumbered males (44%). Right hypo chondral tenderness (100%) was the most common clinical presentation. The proportion of calculous and acalculous cholecystitis was 84% and 14% respectively, remaining 2% of cases were malignancies. The proportion of emergency and elective surgeries were 12% and 88% respectively. The most common organism cultured was E. coli in 24%, Staph, aureus in 14%, salmonella in 2% of the population. Post-operative wound infection was more commonly seen in culture positive cases.Conclusions: Health care practitioners at various levels need to have a good understanding of varied clinical presentation of acute cholecystitis and different management options, their advantages, and disadvantages to be able to treat the condition effectively. 


2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Jonas P. DeMuro

While acute appendicitis and acute cholecystitis are both common, they are only rarely seen simultaneously. The clinical presentation and hospital course of a 45-year-old female with concurrent acute appendicitis and acute cholecystitis is presented. The laparoscopic approach is ideal for dealing with multiple, simultaenous abdominal pathologies.


2009 ◽  
Vol 15 (27) ◽  
pp. 3434 ◽  
Author(s):  
Spiridon Vernadakis ◽  
Georgios Rallis ◽  
Nikolaos Danias ◽  
Costas Serafimidis ◽  
Evangelos Christodoulou ◽  
...  

Author(s):  
Line Buhl ◽  
David Muirhead

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.


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