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61.
IntroductionAbnormal anatomy of the biliary tree predisposes patients to higher risks of ductal injury and postoperative complications. One of the extremely rare abnormalities of the cystic duct is the duplication of the cystic duct with a single gallbladder. The diagnosis is usually established during surgery. we report a case of double cystic duct with literature review.Presentation of caseA forty-two years old female patient who complained of recurrent biliary colic 9 months prior to the presentation. Murphy’s sigh was negative and with no other relevant clinical signs.Diagnosis and therapeutic interventionAbdominal ultrasound showed multiple gall stones; the largest one was about 11 mm in diameter. Laparoscopic cholecystectomy was done under general anesthesia with 4 ports insertion. A double cystic duct accidentally encountered after clipping and cutting what was apparently a single cystic duct. Intraoperative cholangiogram was done to confirm the anomaly and exclude CBD injury.ConclusionDouble cystic duct is a very rare variant of the cystic duct anomaly. Proper knowledge of this anomaly should be kept in mind to avoid any unnecessary steps. 相似文献
62.
目的:为治疗肾囊肿和多囊肾提供一种更有效、安全的手段。方法:自行、研制了两型多孔肾脏穿刺针,Ⅰ型由多孔外鞘、内鞘和针芯构成;Ⅱ型由绝缘外套、多孔外鞘、内鞘和针芯构成。两型多孔肾脏穿刺针经皮穿刺治疗肾囊肿和多囊肾病人26例,其中Ⅰ型针治疗单发性肾囊肿13只、多发性肾囊肿6只、多囊肾9只;Ⅱ型针在多囊肾开放去顶手术后行隧道式穿刺9只。结果:全部病例收到良好效果。结论:多孔肾脏穿刺针隧道式穿刺法治疗肾脏囊肿是一种有效、安全的方法。 相似文献
63.
The treatments previously used for lymphangiomas of the head and neck in children‐surgery and intralesional injection of sclerosants–are associated with significant morbidity. A new treatment–intralesional injection of OK‐432–was used for lymphangiomas of the head and neck in 11 children. The results were total shrinkage in two, marked shrinkage in two, slight shrinkage in five and no response in two. The results were not affected by previous surgery nor by whether aspiration prior to injection was possible. There were no recurrences in those children in whom shrinkage occurred and no child had subsequent surgery following injection. The results of this series support those of previous series showing that OK‐432 injection is an effective and safe treatment for lymphangiomas of the head and neck in children. 相似文献
64.
Albendazolehasbeenwidelyusedinthetreatmentofcysticechinococcosis ,butrelativelyfewlong termfollow upresultsareavailabletoevaluatelong termefficacyandsafety Inthisstudy ,wefollowedup 15patientswhoreceivedcontinuouslong termalbendazoletherapy ;clinicaltherape… 相似文献
65.
EFFECTS OF RADIX ANGE LICAE SINENSIS AND SHUANGHUANGLIAN ON A RAT MOD EL OF CHRONIC PSEUDOMONAS AERUGINOSA PNEUMONIA 总被引:2,自引:0,他引:2
INTRODUCTION Incysticfibrosis (CF)patients,Pseudomonasaerugi nosa (PA)isthemajorpathogencausingchroniclunginfec tionwithincreasingage (1,2 ) .Theinfectionresultsinaremarkableantibodyresponse ,leadingtoformationofim munecomplexesfollowedbyinfiltrationofpolymor… 相似文献
66.
陈玉明 《南京中医药大学学报》1999,15(1):56-57
本文对83例患者盆腔囊性肿块超声诊断结果与手术及病理检查进行对比,提高了超声诊断的准确性。同时结合中医辨证分型拟找寻出中医分型与超声诊断的内在联系,以提高中医诊疗水平 相似文献
67.
目的:应用一组抗体探讨涎腺腺样性癌(ACC)的免疫组化特征。方法:通过ABC免疫组化染色检测了30例涎腺ACC中54Kd及66/57Kd细胞角蛋白(CKs)的分布。结果:ACC基本上由54Kd阳性细胞和MSA阳性细胞构成,这两类细胞不同比例的肿瘤性增生形成ACC的不同组织学构型。结论:ACC免疫组化表型与正常省腺组织中的导管/腺泡单位的表型特征相似。 相似文献
68.
Saviano MS Fundarò S Gelmini R Begossi G Perrone S Farinetti A Criscuolo M 《Surgery today》1999,29(2):174-177
(Received for publication on Apr. 28, 1997; accepted on May 15, 1998) 相似文献
69.
Physiological and psychosocial contributors to malnutrition in children with cystic fibrosis: review
Anthony H Paxton S Catto-Smith A Phelan P 《Clinical nutrition (Edinburgh, Scotland)》1999,18(6):327-335
Malnutrition was once thought to be an inevitable consequence of cystic fibrosis (CF). It is now considered preventable but still contributes considerable morbidity in children. Malnutrition is linked to poorer pulmonary function, reduced survival and quality of life. As the anticipated lifespan of children with CF continues to lengthen, the prevention of malnutrition attains greater importance. This review explores the complex organic and psychosocial factors implicated in the aetiology of malnutrition associated with CF. 相似文献
70.
T. Morioka T. Matsushima K. Ikezaki S. Nagata M. Ohta K. Hasuo M. Fukui 《Neuroradiology》1993,35(6):462-465
Two cases of intracranial adenoid cystic carcinoma mimicking meningioma are reported. In one, MRI showed not only a homogeneously enhancing extra-axial tumour attached to the dura mater of the posterior cranial fossa, but also surrounding dural enhancement, the dural tail sign. In the second, CT demonstrated a well-demarcated enhancing extra-axial tumour, indistinguishable from a sphenoid ridge meningioma extending into the orbit. The neuroradiological features of intracranial adenoid cystic carcinoma may thus closely resemble those of meningioma. 相似文献