Scientific articles

Experience of Sultan Qaboos University Hospital, Oman, in the Management of Common Bile Duct Injuries

Application of Enhanced Recovery After Surgery Pathways in Patients Undergoing Laparoscopic Cholecystectomy With and Without Common Bile Duct Exploration: A systematic review and meta-analysis

Many researchers have implemented enhanced recovery after surgery (ERAS) pathways for laparoscopic cholecystectomy (LC) and found it effective over conventional care. This review investigates the efficacy and safety of such pathways compared to conventional practices. PubMed Central/Medline, Scopus, Ovid and clinicaltr …

A Case of Mirizzi Syndrome with Pancreatic Divisum: A rare association

… , a rare complication of gallstones, refers to extrahepatic biliary compression by calculus in the cystic duct or Hartman's pouch and is usually associated with cystic duct abnormalities. Its association with pancreatic divisum (PD) is infrequent, the most common complication of PD being recurrent pancreatitis. We repo …

Cystic Fibrosis Liver Disease: Know More

Cystic fibrosis (CF) is a multisystem disease caused by mutations in the CF transmembrane conductance regulator (CFTR) gene. CFTR is expressed in the apical surface of cholangiocytes. Homozygous CFTR gene mutation results in viscous and acidic bile secretions secondary to deficient surface fluid and bicarbonate efflux. …

Abdominal Pain in a Young Man

… ancreatography were also performed. The imaging diagnosis points toward hepatic hydatid cyst with biliary ductal connection. In the presence of biliary connection, surgery is the best choice for hepatic hydatid cyst treatment. The postoperative period was uneventful and he recovered quickly after surgery. Surgical rese …

Imaging of a Patient with Multiple Intrahepatic Cysts

A 25-year-old male presented with repeated attacks of cholangitis of six months duration. On examination, the patient was febrile and icteric, abdominal examination revealed a 6 cm firm hepatomegaly. The routine blood investigations were normal except for a raised serum bilirubin (4 mg/dL) and alkaline phosphatase (940 …

Salvage Surgery in Endoscopic Era

Common bile duct stones are usually managed by Gastroenterologists using Endoscopic Retrograde Cholangiopancreaticography (ERCP) and services of Surgeons are required if the stone is large or impacted. But at times, emergency bile duct explorations become mandatory in some unusual complications of ERCP. We describe one …