ABSTRACT
Transperitoneal percutaneous cholecystolithotomy is a surgical technique for gallstone removal in the otherwise healthy gallbladder. It is a one-stage, alternative surgical procedure to extracorporeal lithotripsy. ESWL treatment of gallstones permits preservation of the compromised organ but has not been reported to achieve the potential good results. We describe the principles of the technique--similar to that of percutaneous renal surgery--and highlight specific aspects in this condition.
Subject(s)
Cholelithiasis/surgery , Cholelithiasis/diagnostic imaging , Dilatation/methods , Endoscopy/methods , Evaluation Studies as Topic , Female , Humans , Lithotripsy , Peritoneum , Suction , UltrasonographyABSTRACT
A case is presented of massive lower intestinal bleeding due to typhoid fever. Because of uncontrollable bleeding, emergency right hemicolectomy and resection of the last 50 cm of the distal ileum was performed after endoscopy and arteriography, both of which were negative. The histology of the lesions typical of this disease is described.