American Journal of Clinical &amp; Medical Images

Upper GI series in a patient with chronic calculous cholecystitis presenting for diarrhea. The images show a large fi stula between the gallbladder and the genu superius of the duodenum, a second communication between the gallbladder and the common biliary duct and a third communication between the fundus of the gallbladder and the transverse colon.

Clinical Image
Triple Fistula Complicating a Case of
Chronic Calculous Cholecystitis -
Serban Puia Negulescu*, Alexandra Dili and Claude Bertrand
Department of General and Digestive Surgery, University catholique de Louvain, CHU UCL Namur ,
Av. Docteur G. Thérasse 1, 5530 Yvoir, Belgium
*Address for Correspondence: Serban Puia Negulescu, Department of General and Digestive
Surgery, University catholique de Louvain, CHU UCL Namur, Av. Docteur G. Thérasse 1, 5530
Yvoir, Belgium, E-mail:
Submitted: 10 May 2018; Approved: 28 May 2018; Published: 30 May 2018
Cite this article: Negulescu SP, Dili A, Bertrand C. Triple Fistula Complicating a Case of Chronic
Calculous Cholecystitis. American J Clin Medical Imag. 2018;1(1): 005-006.
Copyright: © 2018 Negulescu SP, et al. This is an open access article distributed under the Creative
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any
medium, provided the original work is properly cited.
American Journal of Clinical &
Medical Images

SCIRES Literature - Volume 1 Issue 1 - www.scireslit.com Page - 006
American Journal of Clinical & Medical Images
MANUSCRIPT
Upper GI series in a patient with chronic calculous cholecystitis
presenting for diarrhea: Figure 1: Native image showing a porcelain
gallbladder and aerobilia; Figure 2: Early image after barium swallow
showing a large fistula between the gallbladder and the genu superius
of the duodenum; normal opacification of the duodenum distal to
the fistula; Figure 3: Later image confirming the cholecystoduodenal
fistula and showing another fistula between the gallbladder and
the common biliary duct (trajectory superior to the trajectory of
the cholecystoduodenal fistula with the anterograde et retrograde
opacification of the common biliary duct); note the irregularity of
the lower common biliary duct; fistula between the fundus of the
gallbladder and the transverse colon (opacification of numerous
colonic diverticula).
These findings were confirmed at surgery.
ABSTRACT
Upper GI series in a patient with chronic calculous cholecystitis presenting for diarrhea. The images show a large ﬁstula between the
gallbladder and the genu superius of the duodenum, a second communication between the gallbladder and the common biliary duct and
a third communication between the fundus of the gallbladder and the transverse colon.
Figure 1:
Figure 2:
Figure 3:

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35275 ce(ra1) f(t)_pf1(ag_om)_pn(ap) (2)

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Xanthomatous cholecystitis dr.damodhar.m.v

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A 36-year-old female developed right upper quadrant pain and nausea after taking the herbal supplement kratom for two weeks to manage back pain. Laboratory tests showed elevated liver enzymes. A liver biopsy ruled out other causes and determined she had drug-induced liver injury from kratom use. Her symptoms and liver enzymes gradually returned to normal over six weeks after stopping kratom. The case report discusses kratom's potential for hepatotoxicity and advises clinicians to consider its effects on patient health.

American Journal of Anesthesia & Clinical Research

The assessment, diagnosis and treatment of critically ill patients is extremely challenging. Patients often deteriorate whilst being reviewed and their rapidly changing pathophysiology barrages healthcare professionals with new data. Furthermore, comprehensive assessments must be postponed until the patient has been stabilised. So, important data and interventions are often missed in the heat of the moment. In emergency situations, suboptimal management decisions may cause signifi cant morbidity and mortality. Fortunately, standardisation and careful design of documentation (i.e. proformas and checklists) can enhance patient safety. So, I have developed a series of checklist proformas to guide the assessment of critically ill patients. These proformas also promote the systematic recording and presentation of information to facilitate the retrieval of the precise data required for the management for critically ill patients. The proformas have been modifi ed extensively over the last twenty years based on my personal experience and extensive consultation with colleagues in several world-renowned centres of excellence. The proformas were originally developed for use in the intensive therapy unit or high dependency unit. However, they have been adapted for use by outreach teams reviewing patients admitted outside of critical care areas. The use of these tools can direct eff orts to provide appropriate organ support and provides a framework for diagnostic reasoning.

International Journal of Clinical Cardiology & Research

This review article discusses microvascular and macrovascular disease in systemic hypertension. It summarizes that: 1) Cardiac imaging plays a crucial role in risk stratifying hypertensive patients and identifying management strategies by properly diagnosing microvascular and coronary artery disease. 2) The nitric oxide synthase (eNOS) G298 gene allele may be a marker for microvascular angina in hypertensive patients, as studies have found it to be more prevalent in hypertensive patients with chest pain and reversible myocardial defects but normal coronary arteries. 3) Both structural changes like capillary rarefaction and functional changes like endothelial dysfunction can cause microvascular dysfunction and angina in hypertensive individuals in the absence of

International Journal of Virology & Infectious Diseases

This study characterized dengue infections in Pakistan by analyzing hematological and serological markers in 154 suspected dengue cases and 146 control patients with other febrile illnesses. NS1 antigen was detected in 55% of dengue cases, IgM antibodies in 30%, and both in 15%. Control groups primarily had malaria (71%) and enteric fever (20%). Hematological markers (platelet count, hematocrit, WBC) measured before and after treatment showed significant differences for platelet count and hematocrit but not WBC count between the groups. Analysis of clinical symptoms and serological/hematological markers helps diagnose dengue, assess prognosis, and inform prevention efforts to reduce morbidity, mortality and spread of the disease.

Scientific Journal of Women’s Health & Care

Scientific Journal of Neurology & Neurosurgery

Introduction: Stroke is an even more dramatic major public health problem in young people. Goal of the study: Contribute to the knowledge of strokes in young people. Methodology: This was a retrospective study carried out over a period of 02 years (January 2017 to December 2018) including the files of patients aged 18 to 49 years hospitalized for any suspected case of stroke in the Neurology department of the University Hospital Center of the Sino-Central African Friendship (CHUSCA) of Bangui.

Scientific Journal of Neurology & Neurosurgery