Postcholecystectomy Biliary Symptoms

Tsoraides, Steven S.; I., Amy; Crawford, D. L.

doi:10.1016/j.jsurg.2007.04.005

Cited by 11 publications

(7 citation statements)

References 11 publications

(6 reference statements)

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“…Fifty percent of the cases can be missed by the preoperative imaging [ 18 ]. We found some cases of cholecystitis even after cholecystectomy due to a missed duplicate gallbladder [ 5 , 19 ]. Although it was rare and no anatomic anomaly was reported on the first surgery, we kept this diagnosis in mind.…”

Section: Discussionmentioning

confidence: 99%

“…The cystic duct remnant is defined as a residual duct greater than 1 cm in length [ 20 ]. It can be symptomatic if there are stones within the remnant, bile stasis and/or infection [ 5 ]. Laparoscopic management of the cystic duct remnant is effective particularly when surgeons are experienced [ 21 ].It was ruled out after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The onset of the syndrome may range from 2 days to 25 years [ 4 ].The causes of this syndrome can be biliary or extrabiliary. Regardless of their initial surgery those patients present a challenging diagnosis [ 5 ].The aim of this case was to describe the diagnostic difficulties encountered in a patient who presented a PCS and to discuss the main etiologies of this entity. This case report has been reported in line with the scare 2020 criteria [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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The complications of subtotal cholecystectomy: A case report

Hmida

Jerraya

Nasseh

et al. 2021

International Journal of Surgery Case Reports

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Introduction Although the symptoms attributed to gall stones resolve in most patients after cholecystectomy, some may have symptoms that persist or recur. It is known as the post-cholecystectomy syndrome (PCS). The aim of this case was to describe the diagnostic difficulties encountered and to discuss the main etiologies of this entity. Case report A 54-year-old man presented for a recurrent right upper quadrant pain despite laparoscopic cholecystectomy five years ago. Imaging showed cystic lesion at the gallbladder fossa with gallstones. We decided to reoperate the patient by laparoscopic approach. It turned to be a residual gallbladder with stones inside. It was confirmed by histopathology. He was asymptomatic after a follow-up of 2 years. Discussion The PCS should not be trivialized. Most of the causes are allocated to extra biliary etiologies. They must be ruled out first as most of them can be controlled with medication. There are etiologies for which re-operation can be necessary. Conclusion The indication of cholecystectomy must be taken wisely otherwise surgery will not solve the problem. Even though patient may complain of persistence or recurrence of the pain. In this case, it can be a real challenge for both diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The complications of subtotal cholecystectomy: A case report

Hmida

Jerraya

Nasseh

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

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“…Bilobed or double gallbladder is rare1–4 and was first described by Morgagni in 1769 3. The true incidence is unknown as symptomatic presentation for imaging is required for true numbers.…”

Section: Discussionmentioning

confidence: 99%

“…The true incidence is unknown as symptomatic presentation for imaging is required for true numbers. The incidence of duplication of any part of the biliary system has been quoted at 1 in 4000 on postmortem studies 4. The hourglass gallbladder is the rarest variant of congenital biliary malformations 3.…”

Section: Discussionmentioning

confidence: 99%