ABSTRACT
One hundred and fifty one patients that underwent laparoscopic cholecystectomy at Princess Alexandra Hospital Harlow were identified between January 2005 and October 2005. They were grouped according to their diagnosis [biliary colic, acute cholecystitis, CBD stones, gallstone pancreatitis] and the delay until their operation [early, interval]. The delay for an interval operation was between 3 and 6 months compared with less than 2 weeks for early operations. No disadvantage was found for early LC for biliary colic. Interval cholecystectomy for all symptomatic gallstones was associated with multiple pre-operative presentations particularly if the initial presentation was to A and E [p=0.003]. Complication rates were also higher. Early cholecystectomy on the nest available list should be recommended for all patients presenting to general surgical teams to lower morbidity and the long-term inpatient burden from gallstones
ABSTRACT
A young Sudanese female presented with features of generalized edema for the last three years. Examination showed anasarca, hepatomegaly and anemia. Investigations confirmed the presence of Nephrotic syndrome with normal renal function. It also showed iron deficiency anemia and leukamoid reaction, hypereosinophilia. Causes for hypereosinophilia were excluded. Renal biopsy showed the diagnosis of amyloidosis. Stool by concentration method diagnosed. Schistosoma mansoni as possible explanation for all the, manifestations. Leucocytosis, hypereosinophilia responded to steroids and antihelminthic therapy however the patient glomerulopathy progressed to end stage and the patient was put on regular renal replacement therapy