Browsing by Subject "Cholecystectomy"

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    Acute cholecystitis complicating ventriculo-peritoneal shunting: report of a case and review of the literature
    (Springer, 2008-03-26) Martínez Lage, Juan F.; Girón Vallejo, Óscar; López López-Guerrero, Antonio; Martínez-Lage Azorín, Laura; Roqués, José Luis; Almagro, María José; Cirugía, Pediatría y Obstetricia y Ginecología; Facultades de la UMU::Facultad de Medicina
    Case A 3-year-old boy underwent emergency external ventricular drainage and excision of a fourth ventricle anaplastic ependymoma. A week later, the child was given a ventriculo-peritoneal shunt. Fourteen days after shunting, the child developed a subphrenic abscess and acute cholecystitis that required surgery. Results A Staphylococcus epidermidis was isolated both from the ventricular catheter and CSF and from the subphrenic abscess and the gallbladder. To our knowledge, this is the first report of cholecystitis evolving as a descending shunt infection. The current literature related with this unique complication is briefly reviewed.
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    Histological and immunohistochemical study of an unusual type of gallbladder duplication
    (F. Hernández y Juan F. Madrid. Universidad de Murcia. Departamento de Biología Celular e Histología, 2014) Carriel, Víctor; Aneiros Fernández, José; Ruyffelaert, Muriel; Arias Santiago, Salvador; Riady, Vadir; Izquierdo Martínez, Francisco; Roda, Olga; Cornelissen, María; Campos, Antonio; Alaminos, Miguel
    Gallbladder duplication is a rare congenital anomaly, with an incidence of 1 in 3,800 autopsies. The correct diagnosis and treatment of this type of entity is important in clinical practice, because it may cause some clinical and surgical problems. In this report, we present the clinical case of a 28-year-old female with abdominal pain. Ultrasound of the upper abdomen showed a distended gallbladder with the presence of a septum that could suggest a congenital anomaly of the extrahepatic biliary system. During surgery, a distended and inflamed gallbladder with a lithiasis was found. In addition, a complete septum and double cystic duct were observed. The gross and histopathological evaluation of the surgical specimen allowed us to confirm the diagnosis of a Y- shaped type gallbladder duplication according to Boyden’s classification. In conclusion, in presence of an atypical imaging of the gallbladder, diagnosis of this group of congenital anomalies should be considered in order to adequately plan surgical intervention if necessary.