The Internal Biliary Fistula – Reappraisal of Incidence, Type, Diagnosis and Management of 33 Consecutive Cases

To reevaluate the current features of spontaneous internal biliary fistulas, we reviewed 1,929 consecutive patients who had been treated for biliary tract diseases during the recent 12-year period. Thirty-three patients had internal biliary fistulas and the incidence was 1.9%. Of 33 patients, 20 were women and 13 were men with the average age 63 years, and their mean duration of illness was 4 years. A total of 37 fistulas were found and the most common type was choledochoduodenal (62%), followed by cholecystoduodenal (19%), cholecystocholedochal (11%) and cholecystocolonic (8%) fistulas. Internal biliary fistulas of thirty-one patients were caused by biliary stones and those of two patients by malignant tumors. All of the 17 bile samples examined were bacteria positive and the majority of calculi were brown pigment stones. All of the choledochoduodenal fistulas were correctly diagnosed by endoscopic retrograde cholangiography. In 14 patients with cholecystoenteric or cholecystocholedochal fistulas, direct evidence of the internal fistula was obtained only in 7 patients (50%) preoperatively. Pneumobilia, a small atrophic gallbladder adherent to the neighboring organs and a history of spontaneous disappearance of jaundice in elderly patients may indicate the presence of a cholecystoentric fistula. Since the preoperative diagnostic rate for internal biliary fistula involving the gallbladder is still low, care is necessary before and at the time of surgery especially during laparoscopic cholecystectomy for elderly patients with cholelithiasis

Socio-spatial cognition in cats: Mentally mapping owner’s location from voice

予期せぬ場所から聞こえる飼い主の声にびっくり --ネコは耳で飼い主の位置を捉えている--. 京都大学プレスリリース. 2021-11-22.Many animals probably hold mental representations about the whereabouts of others; this is a form of socio-spatial cognition. We tested whether cats mentally map the spatial position of their owner or a familiar cat to the source of the owner’s or familiar cat’s vocalization. In Experiment 1, we placed one speaker outside a familiar room (speaker 1) and another (speaker 2) inside the room, as far as possible from speaker 1, then we left the subject alone in the room. In the habituation phase, the cat heard its owner’s voice calling its name five times from speaker 1. In the test phase, shortly after the 5th habituation phase vocalization, one of the two speakers played either the owner’s voice or a stranger’s voice calling the cat’s name once. There were four test combinations of speaker location and sound: Same[sound] Same[location], Same[sound] Diff[location], Diff[sound] Same[location], Diff[sound] Diff[location]. In line with our prediction, cats showed most surprise in the Same[sound] Diff[location] condition, where the owner suddenly seemed to be in a new place. This reaction disappeared when we used cat vocalizations (Experiment 2) or non-vocal sounds (Experiment 3) as the auditory stimuli. Our results suggest that cats have mental representations about their out-of-sight owner linked to hearing the owner’s voice, indicating a previously unidentified socio-spatial cognitive ability

Cats match voice and face: cross-modal representation of humans in cats (Felis catus)

We examined whether cats have a cross-modal representation of humans, using a cross-modal expectancy violation paradigm originally used with dogs by Adachi et al. (Anim Cogn 10:17–21, 2007). We compared cats living in houses and in cat cafés to assess the potential effect of postnatal experience. Cats were presented with the face of either their owner or a stranger on a laptop monitor after playing back the voice of one of two people calling the subject’s name. In half of the trials the voice and face were of the same person (congruent condition) whereas in the other half of trials the stimuli did not match (incongruent condition). The café cats paid attention to the monitor longer in incongruent than congruent conditions, showing an expectancy violation. By contrast, house cats showed no similar tendency. These results show that at least café cats can predict their owner’s face upon hearing the owner’s voice, suggesting possession of cross-modal representation of at least one human. There may be a minimal kind or amount of postnatal