Дяченко В. В. Киевский Национальный институт хирургии и трансплантологии АМН Украины им. А. А. Шалимова Киев, Украина

Case history

A patient (male, 36 years old) had complains of cholelithiasis (3-6 mm gallstones with a tendency of leaving the gallbladder which caused pain), chronic recurrent pancreatitis with exocrine dysfunction of the pancreas, abdominal distension, diarrhea after eating fatty food and meat.

During the lifetime of the patient calculi left his kidneys 15 times, thus, the traces of protein were found in his urine and excretory system of kidneys was widened.

The patient was irritable, a light sleeper, fell asleep with difficulty. He had a reputation of a trouble maker at work.

The examination revealed calculi in the gallbladder, gallbladder atony. In the kidney, against the background of multiple changes in the renal parenchyma, sand in both kidneys (more salts, oxalates with urates) was detected was found, the sympathetic nervous system prevailed (due to that fact the irritability was observed).

The pancreas is inflamed all along with the inflammation predominant in the head of the pancreas and its tail. The excretory function was violated due to reduction of activity of lipase and trypsin.

Given that the patient had a lot of problems due to the presence of small calculi in the cavity of the gallbladder, it was decided to perform laparoscopic cholecystectomy.

In a month after the operation the patient was treated twice using the “KSD” device. As a result, the excretory function of the pancreas was fully restored. The patient followed a diet. The results of dysbiosis of the large intestine were completely gone. The functions of the stomach and duodenum were restored.

During the treatment the patient noted abundant quantity of salts in the urine. After the treatment he was happy to note that the ultrasound didn`t reveal the abundance of salts which was usually found in his kidneys.

The papillomata fell of the skin.