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A 78-year-old man was hospitalized with acute cholecystitis and choledocholithiasis. Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1). Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase… (More)
Coronary artery fistulas (CAF) terminating in the left ventricle are rare. We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization. Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.
A retrospective study of uraemic patients covering 12 months of 1970 and a prospective survey covering six months in 1973-4 is reported for a population of almost 3/4million. The number of patients requiring regular dialysis treatment or transplantation or both is considered to be 45 per million of population under 65, 39 per million under 60, and 29 per… (More)