MyMedR

Displaying all 6 publications

Abstract:

Sort:

A new species of Opisthioglyphe (Trematoda: Telorchiidae) from gall bladder of turtles in Malaysia

Tkach VV, Platt TR, Greiman SE

J Parasitol, 2012 Aug;98(4):863-8.
PMID: 22263805 DOI: 10.1645/GE-3058.1

Opisthioglyphe sharmai n. sp. is described from the gall bladder of the Malayan box turtle, Cuora amboinensis, and the black marsh turtle, Siebenrockiella crassicollis, in Malaysia. The new species is morphologically similar to Opisthioglyphe ranae and some other members of the genus parasitic in amphibians and reptiles. Opisthioglyphe sharmai n. sp. is easily differentiated from all other members of the genus by the cirrus sac extending posterior to the ventral sucker, while in all previously known species the cirrus sac is entirely or mostly preacetabular with the base of the structure not reaching beyond mid-line of the ventral sucker. Despite the overall stable morphology, O. sharmai n. sp. is characterized by highly variable arrangement of testes, from tandem to opposite. It is only the second representative of the genus described from turtles and the first species of Opisthioglyphe parasitic in gall bladder, while all previously described members of the genus are parasitic in the intestine of their hosts.

Matched MeSH terms: Gallbladder Diseases/parasitology; Gallbladder Diseases/veterinary*
Fulltext Recurrent gall-stone ileus: a case report

Baruah DR

Med J Malaysia, 1983 Sep;38(3):228-31.
PMID: 6672566

Gall stone is responsible for about 1% of total small bowel obstruction, 1.2 and recurrent gall stone ileus is even more unusual. 3 Gall stone ileus is caused by the impaction of the stone in bowel lumen. It was first described in a patient examined at autopsy by Bartholin in 1654. This paper based on unusual recurrent intestinal obstructions by a gall stone. The patient presented with large bowel obstruction and it was due to a large gall stone impacted in the pelvic colon. Four months later the same patient presented with small bowel obstruction due to large gall stone impacted in the terminal part of the ileum at 61 cms from the ileo-caecal valve. Gall stone obstruction of the colon is one of the rare complications. This rare complication usually occurs in elderly females' in whom there is frequently an underlying pathological condition at the site of obstruction in the colon. The calculus usually migrates through a cholecysto-colonic fistula in case of large bowel obstruction. In case of a small bowel obstruction the calculus usually migrates through a cholecysto-duodenal fistula. Diagnosis can be established by plain X-rays of the abdomen where there is gas shadow in the biliary system, sometimes the gall stone can be seen if it is radio opague (10-16% gall stone is radio opaque) at the site of obstruction. Otherwise diagnosis is always
made at laparotomy.

Matched MeSH terms: Gallbladder Diseases/etiology
Fulltext Multimorbidity After Surgical Menopause Treated with Individualized Classical Homeopathy: A Case Report

Mahesh S, Denisova T, Gerasimova L, Pakhmutova N, Mallappa M, Vithoulkas G

Clin Med Insights Case Rep, 2020;13:1179547620965560.
PMID: 33149716 DOI: 10.1177/1179547620965560

Classical homeopathy was shown to be beneficial in climacteric syndrome in many studies, but the clinical effect is unclear. To inspect if individualized classical homeopathy has a role in treating complaints after surgical menopause through real world case, we present a case of a 54-year-old Russian woman treated with individualized classical homeopathy for multimorbid conditions after surgical menopause examined for changes from homeopathic treatment. We assessed changes in climacteric symptoms, changes in comorbidities, and the general well-being of the patient. The woman had severe climacteric syndrome, pelvic inflammatory disease, dyslipidemia, obesity, hepatic steatosis, pancreatic lipomatosis, gall bladder disease, and mild subclinical hypothyroidism to begin with. She was treated with individualized classical homeopathy and followed up for 31 months. She was relieved of the vasomotor symptoms and psychological disturbances of climacteric syndrome, her weight reduced, the ultrasound scan showed absence of lipomatosis/gall bladder disease/hepatic steatosis. Blood tests showed reduction of thyroid stimulating hormone and a balance in the lipid status. Individualized classical homeopathy may have a role in the climacteric syndrome and comorbidities after surgical menopause. The efficacy of homeopathic therapy in climacteric problems must be scientifically investigated further.

Matched MeSH terms: Gallbladder Diseases
Fulltext Comparative study of acute pancreatitis in different ethnic populations in a Malaysian public hospital

Thamilselvam, P., Premkumar, D., Haridass, G.

JUMMEC, 2008;11(1):18-21.
MyJurnal

Malaysia is a country consisting of people of Malay, Chinese and Indian ethnic origin and also of some Indonesian and Thai population. In this study of acute pancreatitis, the age group, sex incidence, clinical
features, complications and treatment were compared between different ethnic groups. A total of fifty-four consecutive patients admitted in Sungai Petani Hospital, Kedah, Malaysia with acute pancreatitis from 2002 to 2004 were taken for this study. There were 29 males and 25 females. The 40–60 years age group was more commonly involved. The common factors associated with acute pancreatitis were alcohol intake in males and biliary disease in females. Two females suffered from acute pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP). One of the 54 cases died due to multi-organ failure.

Matched MeSH terms: Gallbladder Diseases
Fulltext Choledochal cyst in pregnancy

Koh KS, Bickle I, Mathew VV, Chong VH

Malays Fam Physician, 2016;11(2-3):27-29.
PMID: 28491243

INTRODUCTION: Biliary diseases during pregnancy are not uncommon and are frequently due to cholelithiasis. Choledochal cyst during pregnancy is rare. The management of biliary pathologies during pregnancy poses a challenge as the window of opportunity to carry out any interventions with minimal risk is small.

CASE REPORT: We report the case of a lady who was diagnosed with a large type I choledochal cyst during the second trimester of pregnancy. Due to increasing symptoms and recurrent cholangitis, she was managed with antibiotics and surgical resection. She remained well and delivered a healthy baby boy.

CONCLUSION: Clinicians need to consider choledochal cyst as a differential in pregnant patients presenting with upper abdominal fullness.

Matched MeSH terms: Gallbladder Diseases
Fulltext Incidental Gallbladder Carcinoma in Gallbladder Polyps: Challenges of Gallbladder Malignancy for an Endemic Population

Gautam A, Pandey A, Masood S, Chauhan S, Choudhary D, Kumar S, et al.

Malays J Med Sci, 2021 Feb;28(1):27-34.
PMID: 33679217 DOI: 10.21315/mjms2021.28.1.4

Background: Gallbladder polyps are considered pre-malignant lesions of gallbladder carcinoma. This study aims to highlight the role of early cholecystectomy in the management of gallbladder polyps in an endemic population.
Methods: A retrospective analysis of 2,076 lap cholecystectomy procedures performed at the Department of Surgical Gastroenterology at a tertiary referral centre in Northern India was conducted and incidental malignancy in gallbladder polyps analysed. The 8th edition of the American Joint Committee on Cancer for tumour-node-metastasis (TNM) staging of gallbladder carcinoma was used.
Results: Of 54 patients with gallbladder polyps, 53 had benign histology and one had malignant cells in the lamina propria suggestive of T1a adenocarcinoma. The patient with the malignant polyp was older (57 years old) than the patients in the non-cancer group, which had a mean age of 45 (P = 0.039). The size of the malignant polyp was approximately 4 mm, significantly smaller than the average 7.9 mm size of the benign polys (P = 0.031).
Conclusion: Cholecystectomy needs to be considered early in the management of small-sized gallbladder polyps, particularly in areas endemic for gallbladder carcinoma.

Matched MeSH terms: Gallbladder Diseases