scholarly journals Gallbladder bleeding along with cholecystocolonic fistula: a case report

Author(s):  
Hai-Lin Yan ◽  
Bo Lin ◽  
Qing Lu ◽  
Tian-Tian Lei ◽  
Hong-Sheng Ma ◽  
...  
Author(s):  
Albert Troci ◽  
Angelo Epifani ◽  
Alessandro Bonomi ◽  
Michele Crespi ◽  
Piergiorgio Danelli

2020 ◽  
Vol I (2) ◽  
pp. 37-39
Author(s):  
Aguilar-Rubio JL

A cholecystocolonic fistula is a rare complication of gallbladder stone disease. Its incidence is 0.06% to 0.14% and it usually presents asymptomatically in elderly patients. Currently there is no imaging study that is proven to be superior to the others for its adequate preoperative diagnosis. We present the case of a patient with nonspecific symptoms in which 3 different imaging studies evidenced an abnormal communication between the gallbladder and the hepatic flexure of the colon, the patient underwent cholecystectomy and intestinal resection with terminal stoma and subsequent recanalization without complications.


2019 ◽  
Vol 101 (2) ◽  
pp. e59-e61
Author(s):  
CY Kong ◽  
P Glen

An 84-year-old woman presented with acute worsening of diarrhoea for a few weeks, with a background of chronic diarrhoea over the past 12 months accompanied by weight loss. Computed tomography during this admission revealed air in the biliary tree and resolution of gallstones in keeping with a cholecystocolonic fistula. Owing to her comorbidities, surgical management was deemed not to be the best option. She was trialled on octreotide, a somatostatin analogue, which effectively resolved her symptoms. This case presents an effective and novel method of managing cholecystocolonic fistulas conservatively in a patient where medical therapy is the ceiling of care.


2018 ◽  
Vol 31 ◽  
pp. 25-28 ◽  
Author(s):  
González-Urquijo Mauricio ◽  
Hinojosa-Gonzalez David Eugenio ◽  
Quevedo-Fernandez Enrique

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


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