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1

Nesland, Jahn M. "Chronic Cholecystitis." Ultrastructural Pathology 28, no. 3 (January 2004): 121. http://dx.doi.org/10.1080/01913120490489441.

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2

RICHTER, JAMES M., MARCI R. CHRISTENSEN, JOSEPH F. SIMEONE, DEBORAH A. HALL, and MARC D. SILVERSTEIN. "Chronic Cholecystitis." Investigative Radiology 22, no. 2 (February 1987): 111–17. http://dx.doi.org/10.1097/00004424-198702000-00004.

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3

Mofti, Adnan B., Omar S. Arman, and Abdullah Al-Kraida. "Chronic Acalculous Cholecystitis." Annals of Saudi Medicine 8, no. 6 (November 1988): 434–37. http://dx.doi.org/10.5144/0256-4947.1988.434.

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4

Anabtawi, Iyad, Raad Dowais, and Malavalli Venkataramu Damodhar. "CHRONIC XANTHOMATOUS CHOLECYSTITIS." Journal of Evolution of Medical and Dental Sciences 6, no. 19 (March 6, 2017): 1552–54. http://dx.doi.org/10.14260/jemds/2017/340.

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5

Patel, M. R., V. Thakore, A. R. Rajput, and K. V. Jani. "Chronic Tuberculous Cholecystitis." Tropical Doctor 25, no. 1 (January 1995): 33. http://dx.doi.org/10.1177/004947559502500112.

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6

Yeo, Dong Myung, and Seung Eun Jung. "Differentiation of acute cholecystitis from chronic cholecystitis." Medicine 97, no. 33 (August 2018): e11851. http://dx.doi.org/10.1097/md.0000000000011851.

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7

Gómez Cabeza de Vaca, Virginia, Francisco Alba Mesa, Luis Piñero González, and Andrzej L. Komorowski. "Acute cholecystitis, chronic cholecystitis or gallbladder cancer?" Gastroenterología y Hepatología (English Edition) 40, no. 10 (December 2017): 671–73. http://dx.doi.org/10.1016/j.gastre.2016.10.017.

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8

Kulkarni, Aparna M., Esha Devendra Jadhav, and Ravindra V. Ramteke. "Histopathological spectrum of gall bladder lesions." International Journal of Research in Medical Sciences 8, no. 3 (February 26, 2020): 1056. http://dx.doi.org/10.18203/2320-6012.ijrms20200781.

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Background: Gall bladder diseases are a very common health problem that affects millions of people throughout the world. Cholelithiasis is commonly associated with carcinoma gallbladder. Cholecystectomy is the most commonly performed surgical procedure done for gall bladder disease.Methods: A total of 161 cases of gall bladder lesions were evaluated from January 2017 to December 2018 which were sent to department of pathology. Specimens were fixed in 10% formalin. Appropriate areas were selected from the specimen and grossed, processed, sectioned, stained using haematoxylin and eosin and were observed under microscope.Results: Out of 161 cases, 105 were female (65.22%) and 56 cases were male (34.78%).Histopathologically, the most common diagnosis was Chronic calculus cholecystitis (57.76%) followed by chronic acalculus cholecystitis (22.36%). Remaining cases were of Acute on chronic cholecystitis (6.21%), Acute on chronic cholecystitis with cholelithiasis (4.96%), Acute on chronic cholecystitis with perforation peritonitis (1.24%), Acute suppurative cholecystitis with perforation peritonitis (0.62%), Biliary Atresia (1.24%), Chronic cholecystitis with choledochal cyst (1.24%), Follicular cholecystitis (1.24%), Adenocarcinoma (0.62%), Adenosquamous carcinoma (0.62%) and one case was inconclusive (0.62%).Conclusions: The incidence of chronic calculus cholecystitis was found to be 57.76% with female preponderance and mostly in third decade. Malignancy of gall bladder is a rare condition. Routine histopathological examination of all cholecystectomy specimens is strongly recommended for the detection of various variants of chronic cholecystitis and also of incidental carcinoma of gall bladder which helps in their treatment and prognosis.
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9

Altun, Ersan, Richard C. Semelka, Jorge Elias, Larissa Braga, Vasilis Voultsinos, Jignesh Patel, N. Cem Balci, and John T. Woosley. "Acute Cholecystitis: MR Findings and Differentiation from Chronic Cholecystitis." Radiology 244, no. 1 (July 2007): 174–83. http://dx.doi.org/10.1148/radiol.2441060920.

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10

Тимошенко Галина Юріївна. "ВПЛИВ ФАКТОРУ РОСТУ ФІБРОБЛАСТІВ 19 НА СТАН ВУГЛЕВОДНОГО ОБМІНУ У ХВОРИХ НА ЦУКРОВИЙ ДІАБЕТ 2 ТИПУ З СУПУТНЬОЮ БІЛІАРНОЮ ПАТОЛОГІЄЮ." World Science 2, no. 8(48) (August 31, 2019): 45–48. http://dx.doi.org/10.31435/rsglobal_ws/31082019/6637.

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This article analyzes the changes of fibroblast growth factor 19 (FRF-19) in serum content and presence of the connections between this marker and carbohydrate metabolism in patients with diabetes mellitus type 2 and chronic cholecystitis, as well as in patients with isolated chronic cholecystitis. 34 patients with type 2 diabetes mellitus and concomitant chronic cholecystitis and 31 patients with isolated chronic cholecystitis were examined in the gastroenterologic and endocrinological departments of «Regional Clinical Hospital» (Kharkiv, Ukraine). Determination of FRF-19 level was carried out by enzyme immunoassay. In patients with combined course of type 2 diabetes mellitus and concomitant chronic cholecystitis, there is a significant decrease in serum FRF-19 concentration, an increase in glycemia, insulinemia and insulin resistance, determined by the HOMA index, compared with patients with isolated chronic cholecystitis, in whom high concentrations of FRF-19 were accompanied by no disturbance of carbohydrate metabolism.
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11

Pathak, Rakesh, M. Gupta, P. Poudel, and K. Khadka. "Histopathological Evaluation of Gall Bladder In Cholecystectomy Specimens in a Tertiary Health Care Centre of Nepal." Nepal Medical College Journal 22, no. 4 (December 31, 2020): 233–37. http://dx.doi.org/10.3126/nmcj.v22i4.34188.

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Gall bladder is one of the important digestive organ which encountered with different histopathological changes. Different changes in dietary habit, obesity, oral contraceptives, alcohal have shows increased pattern of cholecystitis and cholelithiasis and other pathological findings. Detail examination of gall bladder in cholecystectomy specimen helps to evaluate different histopathological pattern of gall bladder lesion and also help to differentiate non-neoplastic from neoplastic lesion and also helps in further management. This was a cross sectional study done in the Department of Pathology, Nepal Medical College Teaching Hospital, Kathmandu, Nepal, during the study of period of six months (Feburary 2020 to July 2020). A total of 127 patients between 16 years to 63 years with mean age of 40.54±10.88 years. There were 127 cholecystectomy specimens were received during study period and out of which 94 were female and 33 were male. On histopathologial evaluation, chronic cholecystitis was most common findings followed by chronic cholecystitis with cholesterolosis. Other findings were chronic cholecystitis with adenomyosis, chronic cholecystitis with pyloric metplasia, chronic cholecystitis with intestinal metpalsia, chronic cholecystitis with polyp, acute on chronic cholecystitis, Xanthogranulomatous cholecytsitis and adenocarcarcinoma . Median age was 40.54 years. It was concluded that Chronic cholecystitis was the most common histopathologcial findings and the common groups was 41-50 years. Routine examination of cholecystectomy specimens grossly and microscopically is important for patient management Though a very few cases of carcinoma of Gall bladder is seen, it is very important to make sure that all cholecystectomy specimens undergone histopathological examination, with this, we can achieve timely diagnosis and early managements.
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12

Kumar, H., H. Kini, and A. Tiwari. "Histological evaluation of 400 cholecystectomy specimens." Journal of Pathology of Nepal 5, no. 10 (September 14, 2015): 834–40. http://dx.doi.org/10.3126/jpn.v5i10.15640.

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Background: A majority of gallbladder specimens show changes associated with chronic cholecystitis; however few harbour a highly lethal carcinoma. This study was conducted to review the significant histopathological findings encountered in gallbladder specimens received in our laboratory.Materials and Methods: Four hundred cholecystectomy specimens were studied over a period of five years (May, 2002 to April, 2007) received at department of pathology, Kasturba Medical College, Mangalore, India. Results: Gallstones and associated diseases were more common in women in the 4th to 5th decade as compared to men with M: F ratio of 1:1.33. Maximum number of patients (28.25%) being 41 to 50 years old. Histopathologically, the most common diagnosis was chronic cholecystitis (66.75%), followed by chronic active cholecystitis (20.25%), acute cholecystitis (6%), gangrenous cholecystitis (2.25%),xanthogranulomatous cholecystitis (0.50%), empyema (1%), mucocele (0.25%), choledochal cyst (0.25%), adenocarcinoma gallbladder (1.25%) and normal gallbladders (1%).Conclusion: All lesions were found more frequently in women except chronic active cholecystitis. Gallstones were present in (80.25%) cases, and significantly associated with various lesions (P value 0.009). Pigment stones were most common, followed by cholesterol stones and mixed stones. Adequate sectioning is mandatory in all cases to assess epithelial changes arising from cholelithiasis and chronic cholecystitis as it has been known to progress to malignancy in some cases.
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13

Park, Yo Han. "Contracted Chronic Cholecystitis with Gallstone." Clinical Ultrasound 3, no. 1 (May 11, 2018): 24–27. http://dx.doi.org/10.18525/cu.2018.3.1.24.

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14

Geddy, P. M., and K. R. Wedgwood. "Myelofibrosis presenting as chronic cholecystitis." Journal of Clinical Pathology 49, no. 5 (May 1, 1996): 428–29. http://dx.doi.org/10.1136/jcp.49.5.428.

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15

Hadigan, C. M., S. J. Fishman, L. P. Connolly, S. T. Treves, A. Bousvaros, and S. Nurko. "CHRONIC ACALCULOUS CHOLECYSTITIS IN CHILDREN." Journal of Pediatric Gastroenterology & Nutrition 27, no. 4 (October 1998): 470. http://dx.doi.org/10.1097/00005176-199810000-00048.

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16

Srinivasan, Gomathi, and A. Sagaya Inba Sekar. "Study of histopathological spectrum of gallbladder in cholecystectomy specimens." International Journal of Research in Medical Sciences 7, no. 2 (January 25, 2019): 593. http://dx.doi.org/10.18203/2320-6012.ijrms20190363.

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Background: Cholecystitis is one of the most common indications for abdominal surgery. Routine examination of gallbladder grossly and microscopically shows lot of interesting findings. This study aims to quantify the various outcomes of routine gallbladder examination following cholecystectomy procedure.Methods: All clinical details and data from case sheet and patient history are collected and analysed for all the patients who underwent cholecystectomy surgery in the Department of General Surgery, Govt. Omandurar Medical College, Chennai, from August 2017 to August 2018. The Study period of this study was from August 2017 to August 2018. Three sections each from neck, body and fundus taken. Tissues were processed in automated tissue processor and paraffin blocks made. Statistical analysis of the data was done.Results: Total number of specimens received were 36. And among the cases the number of females were 33 and the number of males were 3. The number of cases of calculous cholecystitis were 31 and the number of cases with pigment stones were 26, number of cases with cholesterol stone were 2 and the number of cases with mixed stones were 3. The number of cases of acalculous cholecystitis were 5. The number of cases of cholecystectomy by laproscopy were 30 whereas the number of cases of cholecystectomy by open procedure were 6. Chronic cholecystitis was seen in 34 cases and chronic cholecystitis with stones was seen in 29 cases and chronic cholecystitis without stones was seen in 5 cases and Acute on chronic cholecystitis with pigment stone was seen in 1 case and xanthogranulomatous cholecystitis with pigment stone was seen in 1 case.Conclusions: The risk factors for developing chronic cholecystitis was seen in female gender. The predominant histomorphological pattern seen in this study group is chronic calculous cholecystitis. And the predominant type of stone found in this study is pigment stone compared to mixed and cholesterol stone.
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17

Mitsui, Ikki, Shigeaki Ohtsuki, and Kazuyuki Uchida. "Chronic Cholecystitis of Dogs: Clinicopathologic Features and Relationship with Liver." Animals 11, no. 11 (November 21, 2021): 3324. http://dx.doi.org/10.3390/ani11113324.

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(1) Background: Chronic cholecystitis of dogs has not been vigorously investigated histopathologically. In addition, the relationship between gallbladder and liver diseases is not known. (2) Methods: We aimed to provide a hallmark for canine chronic cholecystitis using clinical data, histopathology, histochemistry, immunohistochemistry, and statistical analysis. (3) Results: Our investigation of 219 ultrasonographically abnormal surgically resected canine gallbladders revealed 189 cases (86.3%) of mucosal lymphoplasmacytic infiltration (chronic cholecystitis). Sludge, a gravity-dependent or nondependent fine granular hyperechoic material, was more prevalent (105/219, 47.9%) than mucocele (51/219, 23.2%) in this cohort. Mucosal lymphoid follicles were detected in 68/219 cases (31%), suggesting the influence of long-standing antigenic stimulation. Bacteria were histochemically detected in 41/60 (68.3%) of heavily inflamed gallbladders, 18/129 (14%) of lightly inflamed, and 3/18 (16.7%) of uninflamed gallbladders, suggesting a possible relationship between bacteria and chronic cholecystitis. Simultaneous liver biopsies revealed mild or no inflammation, changes consistent with primary portal vein hypoplasia, and mild hepatocellular degeneration. (4) Conclusions: Based on the results of our statistical analysis, we conclude that canine chronic cholecystitis is a long-standing inflammatory process of unknown (but possibly bacterial) etiology and that liver pathology is unlikely the cause of chronic cholecystitis in dogs.
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18

Wang, Liang, Junyin Chen, Wenxi Jiang, Li Cen, Jiaqi Pan, Chaohui Yu, Youming Li, Weixing Chen, Chunxiao Chen, and Zhe Shen. "The Relationship between Helicobacter pylori Infection of the Gallbladder and Chronic Cholecystitis and Cholelithiasis: A Systematic Review and Meta-Analysis." Canadian Journal of Gastroenterology and Hepatology 2021 (January 6, 2021): 1–11. http://dx.doi.org/10.1155/2021/8886085.

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Helicobacter pylori (H. pylori) is proved to be the main pathogenic agent of various diseases, including chronic gastritis, gastric ulcer, duodenal ulcer, and gastric cancer. In addition, chronic cholecystitis and cholelithiasis are common worldwide, which are supposed to increase the total mortality of patients. Epidemiologic evidence on the relationship between H. pylori infection of the gallbladder and chronic cholecystitis/cholelithiasis still remains unclear. We conducted a systematic review and meta-analysis of overall studies to investigate the relationship between H. pylori infection of the gallbladder and chronic cholecystitis/cholelithiasis. Two researchers searched PubMed, Embase, and Cochrane Library databases to obtain all related and eligible studies published before July 2020. The pooled odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated by the random-effects model. Subgroup analysis, heterogeneity, publication bias, and sensitivity analysis were also conducted. Twenty studies were included in the meta-analysis, involving 1735 participants and 1197 patients with chronic cholecystitis/cholelithiasis. Helicobacter species infection of the gallbladder was positively correlated with increased risk of chronic cholecystitis and cholelithiasis, especially H. pylori (OR = 3.05; 95% CI, 1.81–5.14; I2 = 23.5%). Besides, country-based subgroup analysis also showed a positive correlation between the gallbladder H. pylori positivity and chronic cholecystitis/cholelithiasis risk. For Asian and non-Asian country studies, the ORs were 4.30 (95% CI, 1.76–10.50; I2 = 37.4%) and 2.13 (95% CI, 1.23–3.70; I2 = 0.0%), respectively. The association was more obvious using the bile sample and urease gene primer. In conclusion, this meta-analysis provided evidence that there is a positive correlation between H. pylori infection in the gallbladder and increased risk of chronic cholecystitis and cholelithiasis.
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19

McClean, Steven P., and J. A. Grant. "332 Chronic refractory urticaria associated with chronic cholecystitis." Journal of Allergy and Clinical Immunology 81, no. 1 (January 1988): 251. http://dx.doi.org/10.1016/0091-6749(88)90566-0.

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20

Vats, Alka Dixit, Vertika Gupta, Monica Mehendiratta, and Nitika Anand. "Chronic cholecystitis with follicular lymphoid hyperplasia: nomenclature and diagnostic dilemmas." International Journal of Research in Medical Sciences 7, no. 3 (February 27, 2019): 770. http://dx.doi.org/10.18203/2320-6012.ijrms20190921.

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Background: To revisit the nomenclature, prevalence, histogenesis and the diagnostic dilemmas in cases of cholecystitis with lymphoid hyperplasia received in a private laboratory in one-year duration.Methods: A total of 51 cases of cholecystectomy were examined histopathologically to identify and review all the cases with emphasis on cholecystitis with marked lymphoid infiltration.Results: Out of 51 cholecystectomy specimens, some rare entities were observed such as 4 cases (8%) of xanthomatous change, 2 cases (4%) of cholecystitis with follicular lymphoid hyperplasia and a case of hyalinizing cholecystitis.Conclusions: The literature on cholecystitis with marked lymphoid infiltrate (with or without follicle formation) was overlapping and thus confusing. The same has been simplified with review of literature.
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21

Zhuravlyova, L. V., and G. Yu Tymoshenko. "Biliary system functional condition in patients with chronic cholecystitis against the background of diabetes mellitus type 2." Медицина сьогодні і завтра 84, no. 3 (September 20, 2019): 30–37. http://dx.doi.org/10.35339/msz.2019.84.03.05.

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Overlay of diseases of the biliary system to diabetes mellitus type 2 can contribute to the enhancement of disorders of protein, lipid and carbohydrate metabolism and affect the mechanisms of regulation at the cellular molecular level. Therefore, the need for early diagnosis and study of the features of the course of chronic cholecystitis against the background of diabetes mellitus type 2 is a pressing issue of internal medicine. The motor-evacuation and cholecretory functions of the biliary system and the features of the course of chronic cholecystitis on the background of diabetes mellitus type 2 were studied. 93 patients were examined, of which 62 were patients with combined diabetes mellitus type 2 and chronic cholecystitis and 31 patients with isolated chronic cholecystitis. The control group was represented by 20 apparantly healthy individuals, who were representative of the age and number of male and female probands. The course of chronic cholecystitis was found to be accompanied by impaired gallbladder motor (evacuation) function, which was manifested by an increase in the latency period, the volume of the cavity of the gallbladder, the emptying coefficients in the dynamics and a decrease in the index of contraction of the gallbladder. In the presence of diabetes mellitus type 2, an atypical course of chronic cholecystitis may be formed, characterized by motor-evacuation disorders of the biliary tract and physico-chemical changes in bile, the severity of which exceeds those of isolated chronic cholecystitis. The peculiarities of the course of chronic cholecystitis in patients with diabetes mellitus type 2 are manifested by insignificant clinical symptoms and distinct changes at both stages of cholecystosonography, which may be the result of the development of autonomic neuropathy. In diabetes mellitus type 2, it is advisable to determine the status of the gallbladder (cholecystosonography) in order to prevent the risk of complications (cholelithiasis) and timely administration of antimicrobial therapy in the presence of an additional inflammation.
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22

Wang, Linjie, Wei Sun, Yingbin Chang, and Zhenghui Yi. "Differential proteomics analysis of bile between gangrenous cholecystitis and chronic cholecystitis." Medical Hypotheses 121 (December 2018): 131–36. http://dx.doi.org/10.1016/j.mehy.2018.07.004.

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23

Klingensmith, William C., and W. Marshall Turner. "Cholescintigraphy for acute cholecystitis: False positive results caused by chronic cholecystitis." Gastrointestinal Radiology 15, no. 1 (December 1990): 129–32. http://dx.doi.org/10.1007/bf01888755.

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24

Khattak, Tania, Almas Khattak, Susan Kakakhel, and Anwar Ul Haque. "Histopathological Study of Post-Surgical Gallbladder to Establish True Histopathology Proven Chronic Inflammation." Journal of Gandhara Medical and Dental Science 8, no. 3 (July 1, 2021): 15–19. http://dx.doi.org/10.37762/jgmds.8-3.189.

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OBJECTIVES: The aim of this study was to establish true histopathology proven diagnosis of chronic cholecystitis. METHODOLOGY: A cross-sectional study was conducted on 51 post-surgical gallbladders was done to assess their histopathological patterns in a single centered tertiary care hospital. The specimens were studied for chronic cholecystitis, fibrosis, hypertrophy and presence of Rokitansky-Aschoff sinuses. Descriptive analysis was done and associations of the histopathological changes with demographic data of patients were analyzed through Chi-squared test. RESULTS: Fifty-one post cholecystectomy samples of gallbladder were analyzed for histopathological changes with 82.4% showing chronic cholecystitis, 84.3% fibrosis, 64.7% congestion, and more than 60% mild or moderate hypertrophy. Moreover, 49% of the specimens showed Rokitansky-Aschoff sinuses. All these changes suggest chronic inflammation. CONCLUSION: Chronic cholecystitis, fibrosis, and Rokitansky-Aschoff sinuses are the most common histopathological findings in specimens of patients undergone cholecystectomy for cholelithiasis.
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25

Sopiya, R. A., A. A. Popov, A. J. Korobov, and E. R. Sopiya. "Long-term results of surgical treatment of calculous cholecystitis with the use of mini-access." Scientific Notes of the I. P. Pavlov St. Petersburg State Medical University 21, no. 1 (March 30, 2014): 67–69. http://dx.doi.org/10.24884/1607-4181-2014-21-1-67-69.

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The paper presents the follow-up results of the mini-access surgery for chronic calculous cholecystitis (72 patients) and for calculous cholecystitis (133 patients) performed 3-6 years ago. The long-term results were estimated on two international questionnaires of quality of life (SF-36, GSRS), and on the data of clinical, laboratory and instrumental methods of investigation. All patients operated on for chronic calculous cholecystitis had good long-term results. 99.3 % of the patients with acute calculous cholecystitis had good and satisfactory results of surgical treatment. Only 1 (0.7 %) patient had an unfavourable result, because of choledocholithiasis, identified 2 years after surgery.
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Chen, Dong-Feng. "H pyloriare associated with chronic cholecystitis." World Journal of Gastroenterology 13, no. 7 (2007): 1119. http://dx.doi.org/10.3748/wjg.v13.i7.1119.

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27

Hermann, Robert E. "Surgery for Acute and Chronic Cholecystitis." Surgical Clinics of North America 70, no. 6 (December 1990): 1263–75. http://dx.doi.org/10.1016/s0039-6109(16)45283-7.

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28

Begley, Vincent J. "Chronic Acalculous Cholecystitis: Difficulties in Diagnosis." Military Medicine 154, no. 11 (November 1, 1989): 567–71. http://dx.doi.org/10.1093/milmed/154.11.567.

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29

Päivänsalo, M., T. Siniluoto, V. Myllylä, M. Kairaluoma, and M. Kallioinen. "Ultrasound in acute and chronic cholecystitis." RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 147, no. 07 (July 1987): 84–87. http://dx.doi.org/10.1055/s-2008-1048595.

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30

Harris, Samar, Abdallah Zahr, Muhammad Beg, and Harris Naina. "An Acute Cause of Chronic Cholecystitis." American Journal of Gastroenterology 107 (October 2012): S340—S341. http://dx.doi.org/10.14309/00000434-201210001-00827.

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31

Chamarthy, Murthy, and Leonard M. Freeman. "Hepatobiliary Scan Findings in Chronic Cholecystitis." Clinical Nuclear Medicine 35, no. 4 (April 2010): 244–51. http://dx.doi.org/10.1097/rlu.0b013e3181d18ef5.

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32

Yu, Jian Q., Justin W. Kung, Scott Potenta, Yan Xiu, Abass Alavi, and Hongming Zhuang. "Chronic Cholecystitis Detected by FDG-PET." Clinical Nuclear Medicine 29, no. 8 (August 2004): 496–97. http://dx.doi.org/10.1097/01.rlu.0000132952.14515.9c.

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33

Brugge, William R., Douglas L. Brand, Harold L. Atkins, Bernard P. Lane, and William G. Abel. "Gallbladder dyskinesia in chronic acalculous cholecystitis." Digestive Diseases and Sciences 31, no. 5 (May 1986): 461–67. http://dx.doi.org/10.1007/bf01320308.

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34

Zhong, Genping, Yinghua Luo, Zhenhai Chi, Yunxiu Zhang, Wei Xu, DaoCheng Zhu, Jun Li, Xingyao Hu, and Lin Jiao. "Clinical acupuncture therapy for chronic cholecystitis." Medicine 100, no. 10 (March 12, 2021): e24994. http://dx.doi.org/10.1097/md.0000000000024994.

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35

McCabe, Mark, Jennifer McCracken, and Julia W. Tripple. "Recurrent anaphylaxis owing to chronic cholecystitis." Annals of Allergy, Asthma & Immunology 128, no. 3 (March 2022): 324–25. http://dx.doi.org/10.1016/j.anai.2021.11.008.

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36

Lacey, Julieta, Robert Hughes, and Vicki Noble. "Abdominal Pain in the Elderly: An Unusual Case of Chronic Mesenteric Ischemia in the Emergency Department." Clinical Practice and Cases in Emergency Medicine 3, no. 3 (July 1, 2019): 275–77. http://dx.doi.org/10.5811/cpcem.2019.5.41886.

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Chronic mesenteric ischemia (CMI) is a rare cause of abdominal pain with the potential for significant morbidity and mortality. An infrequently described complication of CMI is acalculous cholecystitis. Historically, acalculous cholecystitis is thought to be multifactorial and usually occurs in the setting of severe illness. In CMI, the etiology is more likely chronic ischemia to the gallbladder leading to inflammation. We present a case of acalculous cholecystitis that presented insidiously in a patient with CMI.
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37

K.S., Arpitha, and Latha B. "Mucin Histochemistry in Chronic Calculous Cholecystitis and Its Correlation with Histomorphology." Indian Journal of Pathology: Research and Practice 5, no. 3 (2016): 259–64. http://dx.doi.org/10.21088/ijprp.2278.148x.5316.4.

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38

Jimdc, Admin, and Huma Mushtaq. "Association of Clinicopathological features of cholecystitis with H.pylori infection in Gall bladders." Journal of Islamabad Medical & Dental College 8, no. 3 (September 29, 2019): 117–22. http://dx.doi.org/10.35787/jimdc.v8i3.403.

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Background: Since H pylori has been mostly associated with gastritis its presence in other parts of gastrointestinal system has not been studied much. Few previous studies have identified “H pylori” in gallbladder and found its association in causing cholecystitis and gallstones but only a few studies have been performed in Pakistan that have shown a significant association. Therefore, in this study we looked for the presence of this microorganism in cholecystitis patients and its association with the morphological changes seen in gall bladders. Material and method: All patients with acute and chronic cholecystitis admitted in ANTH between the ages of 18 and 75 years from January 2017 till March 2019, who underwent cholecystectomy, were included in the study. Gall bladder specimens after surgery were sent to Pathology department ANTH and specimens were analyzed for the presence of H pylori bacteria using H&E and Giemsa staining. Signs of inflammation, any hyperplasia, metaplasia, mucosal atrophy or erosion, lymphoid infiltration, fibrosis, cholesterolosis or any other morphological changes were also noted. Association of H.pylori with cholecystitis and other morphological changes were checked by Chi Square analysis. P. value less than 0.05 was considered statistically significant Results: Chronic cholecystitis was present in 91% cases and acute cholecystitis in 9%. Other histological findings were Hyperplasia (10%), Metaplasia (15%), Fibrosis (79%), Cholesterolosis (19%) and ulcerations (36%). H pylori was found in 17% of gall bladders and all the cases were of chronic cholecystitis. Among these, there were 11.7% Males and 88% Females. Gallstones were present in 76.4% cases and age group involvement was seen more among 41-60 years (64.7%). Other histological findings seen in hpylori positive cases were; Hyperplasia in 11.7% cases, Metaplasia in 17.6%, Fibrosis in 94.1%, cholesterolosis in 23.5% and ulcerations in 17.6% cases. Association of H-Pylori with gender, cholecystitis, gall stones, histological features and age distribution was non-significant. Conclusion: Although H pylori infection has been found in cases of chronic cholecystitis and gall stone formation, its association with cholecystitis and other morphological changes could not be proved. Hence, it is uncertain whether H pylori eradication in patients with gastritis can prevent cholecystitis or gall stones formation
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39

Bharathi, I. Vijaya, P. Urmila Devi, and A. Bhagya Lakshmi. "Study of cholecystectomy specimens over a period of one year in tertiary care centre." International Journal of Research in Medical Sciences 5, no. 3 (February 20, 2017): 916. http://dx.doi.org/10.18203/2320-6012.ijrms20170636.

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Background: Gall bladder is among the most common surgically resected organs with various neoplastic and non-neoplastic lesions. Chronic chocystitis is the most commonly encountered lesion in India and worldwide and 78-90% are associated with calculi. Gall bladder cancer constitutes 0.5% to 1.09% including both suspected and incidental diagnosis. The objective of present study was to evaluate the various lesions of Gall bladder and the importance of grossing and histopathological examination of every cholecystectomy specimen in order to diagnose the incidental gall bladder cancer (IGBC).Methods: A Retrospective study of cholecystectomy specimens for a period of one year, May 2015 to June 2016 was carried out. 252 Cholecystectomy specimens were received and all of them subjected for histopathological examination and the sections stained with routine Hematoxylin and Eosin stain.Results: Commonest age group being 21-40years (41%) followed by 41-60years (40%). Gall bladder (GB) lesions are more common in females 175 (70%) and M:F ratio 1:2.2.Most commonest lesions were Chronic calculous cholecystitis constituting 155 cases (61%) followed by chronic cholecystitis 52 cases (21%). Cholelithiasis was associated with both Acute and Chronic Cholecytitis constituting 67%. Acute calculous cholecystits constitute 13 cases (5%) and Acute cholecystitis constitutes 10 cases (4%). In Congenital anomalies, 3 cases (1.2%) of Biliary atresia and 4 cases (1.2%) of choledochal cyst were diagnosed. 4 cases (1.6%) of Gall bladder carcinoma was diagnosed. Among these 3 cases were incidental gall bladder carcinoma (IGBC).Conclusions: cholecystectomy specimens should be subjected for histopathological examination to study various lesions of GB and to detect unsuspected incidental gall bladder cancer as cholecystectomy itself is the treatment for gall bladder cancer and also other lesions of GB associated with cholelithiasis.
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40

Edlund, G., W. van der Linden, and V. Kempi. "Cholescintigraphy and Biochemical Tests in Cholecystitis - An Evaluation with Discriminant Analysis." Nuklearmedizin 32, no. 03 (1993): 140–43. http://dx.doi.org/10.1055/s-0038-1629655.

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SummaryThe biochemical values of 76 patients with suspected cholecystitis were subjected to discriminant analysis. The final diagnoses, i. e. acute cholecystitis, chronic cholecystitis and non-biliary disease, were used as the grouping variable. Cholescintigraphy identified patients with acute cholecystitis. Routine preoperative biochemical tests were found to be of limited value. Only alkaline phosphatase was of help in predicting common-duct stones, especially in patients with acute cholecystitis. The conclusion is that many biochemical tests presently in common use could as well be dispensed with.
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41

Majeski, James. "Significance of Preoperative Ultrasound Measurement of Gallbladder Wall Thickness." American Surgeon 73, no. 9 (September 2007): 926–29. http://dx.doi.org/10.1177/000313480707300922.

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Evaluation of patients with signs and symptoms of biliary tract disease usually includes ultrasound assessment of the gallbladder. Does measurement of the thickness of the gallbladder wall yield any significant information to the clinical surgeon? The records of all my patients undergoing cholecystectomy since 1990 were reviewed. The entire series consists of 401 consecutive patients, in whom 388 procedures were completed laparoscopically, with 14 patients requiring conversion to an open cholecystectomy. Each patient's preoperative evaluation included a gallbladder ultrasound, which included measurement of the diameter of the gallbladder wall. The entire series of cholecystectomies was evaluated according to the ultrasound measured diameter of the gallbladder wall. A thin gallbladder wall was less than 3 mm in diameter. A thick gallbladder wall was 3 mm or greater in diameter. Of the 401 consecutive patients who underwent cholecystectomy for symptomatic gallbladder disease, 86 (21.5%) were removed laparoscopically for acalculous disease. Eleven per cent of patients with acalculous cholecystitis had acute cholecystitis and 89 per cent had chronic cholecystitis. Every patient with either a thin or thick gallbladder wall with acalculous cholecystitis had a successful laparoscopic cholecystectomy. Three-hundred fifteen patients had a laparoscopic cholecystectomy for calculous cholecystitis. In patients with calculous cholecystitis, 28.3 per cent had acute cholecystitis and 71.7 per cent had chronic cholecystitis. The gallbladder wall was found to be greater than 3 mm in 38 per cent of patients with acute calculous cholecystitis and greater than 3 mm in 41 per cent of patients with chronic calculous cholecystitis. One-hundred, forty-two patients, out of a series total of 401, had a gallbladder wall thickness greater than 3 mm by preoperative sonography and 14 of these patients (10%) required conversion to an open cholecystectomy. A preoperative gallbladder ultrasound evaluation for symptomatic cholecystitis, which documents a thick gallbladder wall (≥3 mm) with calculi, is a clinical warning for the laparoscopic surgeon of the potential for a difficult laparoscopic cholecystectomy procedure which may require conversion to an open cholecystectomy procedure.
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42

Janaki, M., B. Chakri Sarvani, A. Hareesh Kumar, V. Ramya Swathi, and S. Hasham Hussain. "Clinicopathological study of calculous cholecystitis." IP Archives of Cytology and Histopathology Research 6, no. 2 (May 15, 2021): 108–12. http://dx.doi.org/10.18231/j.achr.2021.026.

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Calculous cholecystitis is the most common lesion of the gallbladder. Pain abdomen is the common clinical presentation.Calculous and acalculous cholecystitis are the most common indications for cholecystectomy. Gross and microscopic examination of the gall bladder indicates the outcome of the lesions. The various histological findings will reveal the type of the disease entity and prognosis. Retrospective study was done, total 120 cases of cholecystectomy specimens were received in pathology department. Formalin fixed specimens were analysed. After processing, H&E stained sections were studied.Chronic calculous cholecystitis is the most common non-neoplastic lesion. calculous cholecystitis(92 cases), acalculous cholecystitis (21 cases), follicular cholecystitis (4 cases), empyema gallbladder (1 case), xanthogranulomatous cholecystitis (1 case), eosinophilic cholecystitis (1 case). Among premalignant lesions, cholecystitis with metaplasia was seen in 40 (33.3%) cases. Pyloric metaplasia (25 cases), Intestinalmetaplasia (15 cases). Chronic calculous cholecystitis was the most common lesion. Histopathological evaluation plays an important role in identifying the metaplastic, dysplastic and incidental carcinoma of the gallbladder. .
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43

Singh, Prachi, Faiyaz Ahmad, Shyamoli Dutta, Seema Awasthi, and V. K. Singh. "Spectrum of Benign Histopathological Lesions in Cholecystectomy Specimens." Asian Journal of Medical Research 9, no. 2 (July 6, 2020): 8–13. http://dx.doi.org/10.47009/ajmr.2020.9.2.pt2.

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Background: The most commonly received specimen in any histopathology laboratory is cholecystectomy specimen. The majority of the cholecystectomies are done for Cholelithiasis. Inflammation may be acute, chronic or acute on chronic. It almost always occurs in association with gallstones, which is responsible for carcinoma and if the diagnosed early prognosis of the carcinoma gall bladder is good. Histopathological examination is therefore a must for diagnosis of early carcinomas. Subjects and Methods: 100 cholecystectomy specimens from patients of all ages were included. All specimens were subjected to gross and microscopic assessment. Different histological findings were noted in various layers of the gall bladder. The study includes all radiologically confirmed inflammatory pathologies of including metaplastic changes of the gall bladder epithelium, irrespective of age and sex. The study excludes patients with evident gallbladder malignancy, cases with known secondaries from gall bladder, traumatic rupture of gallbladder. Results: The age of patients varied from 16 to 70 years, with a maximum number of patients (25%) belong to 31 to 40 years. Gall stones were associated with 59% cases of cholecystitis. Pigment stones were most common (74%). Histopathologically the most common diagnosis was chronic cholecystitis (69%). Conclusion: Almost all of the gallbladder lesions are inflammatory in origin, of which the most common disease being chronic cholecystitis. Chronic cholecystitis was found to be most probable diagnosis in a female of 30-40 years. Pigmented gall stones were found to be the most common etiology of chronic cholecystitis. Prompt detailed histopathological analysis will help to confirm the benign nature of the disease or to detect any precursors of malignancy.
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44

Chandra, Suvrat, Craig Friesen, and Thomas Mario Attard. "Trends in the epidemiology of pediatric acute and chronic cholecystitis-related admissions in the USA: a nationwide emergency department and inpatient sample study." Journal of Investigative Medicine 67, no. 8 (July 18, 2019): 1155–59. http://dx.doi.org/10.1136/jim-2018-000948.

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Acute and chronic cholecystitis can be related to gallstone disease, although in childhood acalculous cholecystitis may be the most frequent form. Chronic acalculous cholecystitis is a subtype of pediatric chronic abdominal pain. The overall incidence of cholecystitis in children appears to be increasing. Studies suggest a widely variable but predominant female, Caucasian and late adolescent preponderance to the affected population. The Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), a national emergency department, pediatric and adult inpatient admission coding-based database was accessed for the population-weighted demographic characteristics related to documented principal diagnoses (International Classification of Diseases, Ninth Revision, Clinical Modification) of acute and chronic cholecystitis; pediatric and adult age range 2006–2012 (emergency department), 1997–2012 (inpatient service). ED-derived data show pediatric admissions at the smallest age category (1%), averaging 3.7/100 000 persons; discharges were highest in the 15–17 age range. Inpatient admission was more likely in older (93% >10 years), female (F:M 3.7:1) children, and patients from lower median household income residences. Over the study period, there was a significant relative increase in males. Mean length of inpatient stay was 3.2 days, tended to be shorter in female and older patients; this pattern was reflected in the overall hospital charges which rose threefold over the study period (1997–2012). Our study establishes the gender distribution of cholecystitis-related diagnoses and as yet poorly understood admission discrepancies based on gender and socioeconomic status. Length of admission has overall decreased but costs have risen threefold over the study period.
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45

Liczko, Jacek, Tomasz Stawski, Małgorzata Żaba, Józef Kurek, Daniel Sabat, Grzegorz Wyrobiec, Dorota Domal-Kwiatkowska, Damian Dudek, Marek Kucharzewski, and Krzysztof Helewski. "Tissue Factor and Tissue Factor Pathway Inhibitor in Chronically Inflamed Gallbladder Mucosa." BioMed Research International 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/403639.

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We characterised a tissue factor (TF) and tissue factor pathway inhibitor (TFPI) expression in relation to severity of inflammatory infiltration of the gallbladder mucosa in a chronic cholecystitis. We prospectively studied the gallbladder specimens obtained from 54 patients who had undergone cholecystectomy due to chronic calculous cholecystitis and 16 calculosis-free gallbladder specimens obtained from patients who underwent cholecystectomy due to the polyp/polyps as well as in cases of gallbladder injury. To assess TF and TFPI immunoreactivity by immunohistochemistry, the monoclonal anti-human TF and TFPI antibodies were used. The inflammatory infiltration of the gallbladder mucosa was reflected by the number of CD3 and CD68 positive cells. The expression of TF and TFPI differed significantly between the cholecystitis and the control group. Most capillary endothelial cells of the cholecystitis group presented weak expression for TFPI. The mean number of CD3 positive lymphocytes in the cholecystitis group was 18.6 ± 12.2, but the mean number of CD68 positive cells was 29.7 ± 13.9. In the control sections, it was 3.1 ± 1.9 and 8.8 ± 3.9, respectively (P<0.001). The results of the current study suggest that the tissue procoagulant state found may be engaged in the etiopathogenesis of the cholecystitis.
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46

Han, Hua, and Jun Han. "Value of Multislice Spiral CT in Differential Diagnosis of Thick-Wall Gallbladder Carcinoma and Chronic Cholecystitis." Contrast Media & Molecular Imaging 2022 (May 6, 2022): 1–7. http://dx.doi.org/10.1155/2022/5459779.

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To summarize the value of multislice spiral CT (MSCT) in the differential diagnosis of thick-wall gallbladder carcinoma (TWGC) and chronic cholecystitis (CC), the clinical data of 36 patients with TWGC and 60 patients with chronic cholecystitis who were treated in our hospital from January 2017 to May 2021 were retrospectively analyzed, and the CT image features and diagnostic accuracy of the patients were summarized. Compared with the CC group, the proportions of disruption of gallbladder mucosa line, blurred gallbladder outline, high obstruction of biliary tract, lymphomegaly, adjacent invasion, peritoneal effusion, wall nodules, and the gallbladder wall thickness in the TWGC group were higher, with statistical significance ( P < 0.05 ). Thirty-four patients with TWGC and 62 patients with chronic cholecystitis were diagnosed by MSCT. The sensitivity and specificity of MSCT in diagnosing TWGC were 86.11% and 95.00%, respectively. The positive likelihood ratio was 17.222 and the negative likelihood ratio was 0.1462. The positive prediction rate was 91.18%, the negative prediction rate was 91.94%, and the correct rate was 91.67%. MSCT can show the characteristic difference between TWGC and chronic cholecystitis, which can be used for differential diagnosis.
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47

Zucker, Karl A., Robert W. Bailey, and John Flowers. "Laparoscopic Management of Acute and Chronic Cholecystitis." Surgical Clinics of North America 72, no. 5 (October 1992): 1045–67. http://dx.doi.org/10.1016/s0039-6109(16)45831-7.

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48

Donen, A., and R. Kantor. "Fatty meal ultrasonography in chronic acalculous cholecystitis." Journal of Surgical Case Reports 2014, no. 11 (November 18, 2014): rju120. http://dx.doi.org/10.1093/jscr/rju120.

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49

Yamashita, Yuki, Takefumi Kimura, Naoki Tanaka, Masahide Yazaki, Tadashi Itagaki, Satoru Joshita, Takeji Umemura, et al. "Salmonella Enteritidis cholecystitis with chronic granulomatous disease." IDCases 12 (2018): 49–52. http://dx.doi.org/10.1016/j.idcr.2018.03.012.

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50

Ijaz, S., S. Lidder, W. Mohamid, and H. H. Thompson. "Cholecystocutaneous Fistula Secondary to Chronic Calculous Cholecystitis." Case Reports in Gastroenterology 2, no. 1 (March 11, 2008): 71–75. http://dx.doi.org/10.1159/000118831.

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