Ask Where Do You Get the Pain with Gallstones

Where Do You Get the Pain with Gallstones?
Source: eMedicineHealth.com - Category: General Medicine Source Type: news

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Publication date: August 2019Source: Clinica Chimica Acta, Volume 495Author(s): Boudour Khabou, Ayman Trigui, Tahya Sellami Boudawara, Leila Keskes, Hassen Kamoun, Véronique Barbu, Faiza FakhfakhAbstractLow phospholipid-associated cholelithiasis (LPAC) is characterized by the association of ABCB4 mutations and low biliary phospholipid concentration with symptomatic and recurring cholelithiasis. In the present study, we reported a case of a 63-year-old woman, who presented a biliary pain beginning at the age of 30, recurrent after cholecystectomy, along with “comet-tail shadows” revealed by ultrasonograph...
Source: Clinica Chimica Acta - Category: Laboratory Medicine Source Type: research
Abstract Low phospholipid-associated cholelithiasis (LPAC) is characterized by the association of ABCB4 mutations and low biliary phospholipid concentration with symptomatic and recurring cholelithiasis. In the present study, we reported a case of a 63-year-old woman, who presented a biliary pain beginning at the age of 30, recurrent after cholecystectomy, along with "comet-tail shadows" revealed by ultrasonography thus, fulfilling the diagnosis of LPAC. This disease evolved into a cholangiocarcinoma. To understand the molecular basis of this phenotype, we performed the ABCB4 gene sequencing, followed by...
Source: International Journal of Clinical Chemistry - Category: Chemistry Authors: Tags: Clin Chim Acta Source Type: research
CONCLUSIONThe anatomical variation in SIT can influence the localization of symptoms in patient with cholelithiasis leading to a delay in diagnosis and management. Laparoscopic cholecystectomy can be safely performed in these cases. However, it is considered technically challenging procedure and often requires alteration in the technique.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Objective: We reviewed medical records and conducted a nationwide survey to characterize the clinical features and determine the prevalence of biliary tract disease in girls and women with Rett syndrome (RTT). Methods: Sixty-two individuals with RTT and biliary tract disease were identified from the membership of Rett Syndrome Organization and patient files of the principal investigator. Medical records of 46 individuals were reviewed for presenting features, diagnostic tests, and treatment outcomes of biliary tract disease. We designed a questionnaire that probed the frequency of risk factors and treatment outcomes o...
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Original Articles: Hepatology Source Type: research
A 67-year-old female presented with 3 weeks of epigastric pain, multiple episodes of emesis, and weight loss. Physical examination was notable for mild tenderness in the epigastrium. Laboratory evaluation revealed an elevated alkaline phosphatase and transaminitis. A contrast-based computed tomography of the abdomen displayed a dilated fluid-filled stomach and proximal duodenum containing a 4.8-cm calcified structure, thickening of the gallbladder wall with pericholecystic fluid, pneumobilia, and external biliary ductal dilatation secondary to mass effect (Fig 1, A).
Source: Surgery - Category: Surgery Authors: Source Type: research
Many patients with gallstones and abdominal pain don't feel better after a procedure to remove their gallbladder, and a recent study suggests this surgery may not always be necessary.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Gastroenterology News Source Type: news
Many patients with gallstones and abdominal pain don't feel better after a procedure to remove their gallbladder.
Source: CBC | Health - Category: Consumer Health News Tags: News/Health Source Type: news
(Reuters Health) - Many patients with gallstones and abdominal pain don't feel better after a procedure to remove their gallbladder, and a recent study suggests this surgery may not always be necessary.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
Rationale: Hereditary elliptocytosis is an inherited disorder characterized by the elliptical red blood cells (RBCs) on the peripheral blood smear and related hemolysis, mainly results from a heterozygous mutation in the genes that encode protein 4.1, α-spectrin, β-spectrin. Mutations of SPTA1 are the most common. Patient concerns: A 21-year-old female presented with left epigastric pain and jaundice with numerous elliptical RBCs on blood film. The family history review discovered jaundice in her sibling. Diagnosis: A novel heterozygous mutation of SPTA1 was detected in the proband, her brother and fathe...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Publication date: Available online 27 April 2019Source: The LancetAuthor(s): Rachel V Guest, Kjetil Søreide
Source: The Lancet - Category: General Medicine Source Type: research
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