Symptomatic cholecystolithiasis after cholecystectomy

BMJ Case Rep. 2013 Jan 28:2013:bcr2012007692. doi: 10.1136/bcr-2012-007692.

Abstract

A 43-year-old woman was admitted to the gastroenterology department with colicky pain in the upper abdomen. Four years earlier, she had undergone a laparoscopic cholecystectomy because of cholecystitis. She recognised her current complaints from that previous episode. An endoscopic retrograde cholangiopancreatography showed a cavity with a diameter of 2 cm which contained multiple concrements near the liver hilus. An elective surgical exploration was performed. Near the clip of the previous cholecystectomy a bulging of the biliary tract with its own duct was visualised and resected. Histological examination of this "neo" gallbladder showed that the bulging was consistent with the formation of a reservoir secondary to bile leakage, probably caused by a small peroperative lesion of the common bile duct during the previous cholecystectomy. In conclusion, our patient presented with colicky pain caused by concrements inside a 'neo' gallbladder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholecystectomy, Laparoscopic / adverse effects*
  • Cholecystitis / surgery
  • Cholecystolithiasis / diagnostic imaging
  • Cholecystolithiasis / etiology*
  • Cholecystolithiasis / surgery
  • Common Bile Duct / injuries*
  • Female
  • Humans