Post cholecystectomy pancreatitis: a misleading entity

Vagholkar, Ketan; Pawanarkar, Amish; Vagholkar, Suvarna; Pathan, Shamshershah; Desai, Rohini

doi:10.18203/2349-2902.isj20161171

Cited by 6 publications

(6 citation statements)

References 2 publications

(3 reference statements)

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“…Additional research with a larger population would need to be performed to confirm the incidence of complications due to choledocholithiasis post cholecystectomy as this sample population already presented with a complication and is not representative of a typical sample population cholecystectomy, which would include those without complications and thus lower these percentages. Literature also suggests that bile duct injury or a bleeding vessel are common complications in the early postoperative period and most cases of acute pancreatitis post cholecystectomy are transient and self-limiting unless there is an obstruction in the lower common bile duct [ 10 , 11 ]. In rare occasions, patients can develop post-cholecystectomy syndrome, which can manifest for months to years after a cholecystectomy resulting in right upper quadrant or epigastric pain after meals, jaundice, dyspepsia, and diarrhea.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Pancreatitis Post Laparoscopic Cholecystectomy: A Case Report

Hines¹,

Pillai²

2023

Cureus

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Gallstone pancreatitis is uncommon after laparoscopic cholecystectomy with minimal cases reported in the literature. We report a case of a 38-year-old female who developed gallstone pancreatitis three weeks after laparoscopic cholecystectomy. The patient presented to the emergency department with a two-day history of severe right upper quadrant and epigastric pain radiating to her back with associated nausea and vomiting. The patient had elevated total bilirubin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and lipase. The patient's preoperative abdominal magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP), prior to her cholecystectomy, were negative for common bile duct stones. However, it is important to note that common bile duct stones are not always visible on ultrasound, MRI, and MRCP prior to cholecystectomy. In our patient, an endoscopic retrograde cholangiopancreatography (ERCP) revealed gallstones in the distal common bile duct, which were removed with biliary sphincterotomy. The patient had an uneventful postoperative recovery. It is important for physicians to have a high index of suspicion for gallstone pancreatitis in a patient with epigastric pain radiating to the back with a known history of recent cholecystectomy, as this is a diagnosis that can be missed due to its infrequent occurrence.

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Section: Discussionmentioning

confidence: 99%

Gallstone Pancreatitis Post Laparoscopic Cholecystectomy: A Case Report

Hines¹,

Pillai²

2023

Cureus

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“…7 A case report showed a similar event 3 days postoperatively, but it was a 36-year-old man with the presence of small stones. 13 Also, one article describes that the rendezvous technique using an LC could prevent recurrent AP in patients who had AP previously. 14 As can be seen, the entity is rare and the time of onset variable in the first 2 weeks is very rare, in addition to the fact that it may manifest in the absence of a change from LC to open surgery, but small stones predispose the appearance of this postoperative event.…”

Section: Case Descriptionmentioning

confidence: 99%

Postoperative Acute Pancreatitis in a Patient Who Underwent Laparoscopic Cholecystectomy: A Case Report

Challa¹,

Canchari²,

Gomez³

et al. 2021

World Journal of Laparoscopic Surgery With DVD

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Laparoscopic cholecystectomy (LC) is a widely performed procedure worldwide, and it is one of the safest surgical interventions, with few short-and long-term complications. The presentation of post-LC acute pancreatitis (AP) is quite rare and with few reports over time. This case report relates the case of a 34-year-old woman who, 12 days after surgery, presented with AP with no other apparent cause, in addition to which a right renal mass was found incidentally. This case presents us with a rare complication of a fairly safe surgical procedure; however, it should serve to carry out a good follow-up of postoperative patients in the first weeks above all in order to prevent complications.

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“…The process might be a part of the natural history of Mirizzi's syndrome [14,15,16] . The other causes for gallstone ileus could be after ERCP wherein a wide sphincterotomy can cause a gall stone to find its way into the duodenum and pass down [17,18] . Spillage of stones during laparoscopic cholecystectomy can lead to intra-abdominal abscesses which can ulcerate into the intestinal wall releasing the stone into the intestine leading to gall stone ileus [19,20] .…”

Section: Aetiopathologymentioning

confidence: 99%

“…In 85% of cases the gall stone is eliminated either by vomiting or passed in the faeces [30] . 15% of patients will present as gall stone ileus due to impaction in the digestive tract [17,18] . Nausea, anorexia and abdominal pain are the typical features.…”

Section: Clinical Featuresmentioning

confidence: 99%

Gallstone ileus

Vagholkar¹

2020

Int. J. Surg. Sci.

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Gall stone ileus is complication of cholithiasis. It is rare and seen in aged patients diagnosed as cholelithiasis with co morbidities. High index of suspicion is necessary for arriving at a clinical diagnosis. Contrast enhanced computed tomography is diagnostic. Enterolithotomy followed by closure of the fistula with cholecystectomy as a two staged procedure is the safest approach for managing gall stone ileus.

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Post cholecystectomy pancreatitis: a misleading entity

Cited by 6 publications

References 2 publications

Gallstone Pancreatitis Post Laparoscopic Cholecystectomy: A Case Report

Gallstone Pancreatitis Post Laparoscopic Cholecystectomy: A Case Report

Postoperative Acute Pancreatitis in a Patient Who Underwent Laparoscopic Cholecystectomy: A Case Report

Gallstone ileus

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