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[Bilithiasis (cholenephrolithiasis)]

M Sirakov

    Khirurgiia
    |January 1, 1997
    PubMed
    Summary
    This summary is machine-generated.

    This study found that 11.2% of patients with chronic calculous cholecystitis also had bilithiasis (gallbladder and kidney stones). The co-occurrence of these conditions may worsen their clinical presentation and outcomes.

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    Area of Science:

    • Urology
    • Gastroenterology
    • Surgical Pathology

    Context:

    • This study investigated the relationship between chronic calculous cholecystitis and bilithiasis (gallbladder and kidney stones).
    • The research was conducted at the Surgical Clinic of the Military Hospital in Plovdiv between 1991 and August 1995, involving 232 patients.
    • Bilithiasis was diagnosed in 11.2% of the patients.

    Purpose:

    • To determine the incidence of bilithiasis in patients with chronic calculous cholecystitis.
    • To describe the clinical presentation and diagnostic findings associated with co-existing gallbladder and kidney stones.
    • To evaluate the impact of bilithiasis on the surgical management and outcomes of chronic calculous cholecystitis.

    Summary:

    • Of 232 patients with chronic calculous cholecystitis, 26 (11.2%) had bilithiasis.

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  • Clinical symptoms included right subcostal/lumbosacral pain (57.7%), nausea, vomiting, and renal crisis (18 patients).
  • Diagnostic imaging confirmed gallbladder and renal calculi in all bilithiasis cases. Surgical findings included gallbladder hydrops/empyema (5 patients) and vesicoduodenal fistula (1 patient).

    • Impact:

    • The presence of bilithiasis, compared to patients without urolithiasis (10.8%), suggests a reciprocal aggravation of both conditions.
    • Surgical management yielded very good early and long-term results for patients with co-existing conditions.
    • This highlights the importance of considering and diagnosing urolithiasis in patients presenting with chronic calculous cholecystitis.