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Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Chronic Pancreatitis II: Pathophysiology01:21

Chronic Pancreatitis II: Pathophysiology

Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...

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Related Experiment Videos

Cholecystitis caused by a fish bone.

Masaki Kunizaki1, Hiroyuki Kusano, Koji Azuma

  • 1Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University, Graduate School of Biomedical Sciences, Nagasaki, Japan. makuni49@nagasaki-u.ac.jp

American Journal of Surgery
|July 25, 2009
PubMed
Summary
This summary is machine-generated.

A rare case of cholecystitis caused by a fish bone lodged in the gallbladder is presented. This foreign body likely penetrated the stomach wall without causing peritonitis, highlighting a unique clinical presentation.

Related Experiment Videos

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Accidental foreign body ingestion is common, but gallbladder foreign bodies are exceptionally rare.
  • Cholecystitis, or gallbladder inflammation, typically results from gallstones.
  • Penetration of the gastrointestinal tract by foreign bodies can lead to severe complications.

Observation:

  • A 4.0 cm fish bone was discovered within the gallbladder during a laparoscopic cholecystectomy.
  • The patient presented with cholecystitis, with the fish bone suspected as the causative agent.
  • No signs of peritonitis were observed, despite the presumed gastric perforation by the foreign body.

Findings:

  • This case details the first reported instance of a fish bone causing cholecystitis via transgastric migration to the gallbladder.
  • Laparoscopic cholecystectomy successfully removed the foreign body and the inflamed gallbladder.
  • Histopathological examination confirmed the fish bone's presence and associated gallbladder inflammation.

Implications:

  • This case expands the differential diagnosis for cholecystitis, particularly in patients with a history of foreign body ingestion.
  • It underscores the importance of considering unusual etiologies for abdominal pathologies.
  • Further investigation into the mechanisms of foreign body migration through the gastrointestinal tract is warranted.