Transient pancreatitis post laparoscopic cholecystectomy: A rare case report

Kumar, M Arun; Pahwa, Bhavna; Singh, D J; Sharma, Anupam

doi:10.4103/jmms.jmms_14_20

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Whether pre-existing CBD stones are initially missed and later after surgery may have passed down the CBD giving rise to gall stone pancreatitis is a possibilty. 2 However, in the case presented there was no evidence of gall stones in the CBD pre operatively. There is a high likelihood that during dissection of the Hartmann's pouch, few stones or a sludge ball might pass down the cystic duct into the common bile duct.…”

Section: Discussionmentioning

confidence: 63%

Post-laparoscopic cholecystectomy pancreatitis

Vagholkar,

Purandare

2023

Int Surg J

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Laparoscopic cholecystectomy is one of the commonest operations performed on the biliary system. Acute pancreatitis following Lap-chole is quite uncommon. Whether pancreatitis is a complication or a sequalae to surgical treatment of gall stone disease continues to be a debatable issue. A 37-year-old lady underwent laparoscopic cholecystectomy for incidentally diagnosed gall stones. Early post-operative course was uneventful. The patient presented 3 weeks after surgery with severe excruciating abdominal pain and was diagnosed as acute pancreatitis by ultrasound evaluation. Liver function tests were altered with raised bilirubin, serum lipase and amylase. MRCP revealed a normal biliary tract. Pancreas showed changes of acute interstitial pancreatitis. Patient responded to conservative line of treatment. Acute pancreatitis could be a known complication following laparoscopic cholecystectomy. What causes pancreatitis continues to be a matter for debate. MRCP is the investigation of choice. Interventional endoscopy (ERCP) is indicated in cases of impacted gallstone in the CBD. While if the CBD is clear of stones, aggressive conservative management will suffice.

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Section: Discussionmentioning

confidence: 63%

Post-laparoscopic cholecystectomy pancreatitis

Vagholkar,

Purandare

2023

Int Surg J

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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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Transient pancreatitis post laparoscopic cholecystectomy: A rare case report

Cited by 2 publications

References 7 publications

Post-laparoscopic cholecystectomy pancreatitis

Post-laparoscopic cholecystectomy pancreatitis

Gallstone Pancreatitis Post Laparoscopic Cholecystectomy: A Case Report

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