An unusual case of postcholecystectomy pain: migration of endoclips into the duodenum after laparoscopic cholecystectomy

Laparoscopic cholecystectomy (LC) is preferred in the treatment of symptomatic cholecystolithiasis. Gallstone spillage is not uncommon, and there have been reports of associated complications. We report a case of a free intraperitoneal gallstone, left inadvertently during LC, which developed an inflammatory phlegmon with abscess containing gallstone, causing extraluminal compression on the distal ileum, resulting in small bowel obstruction. This complication in particular is almost unheard of. The patient underwent laparoscopic drainage of abscess and retrieval of gallstone, which relieved the obstruction. Clinicians, therefore, need to keep an open mind in the workup for bowel obstruction. During LC, gallstone spillage should be prevented and retrieved whenever possible to minimize early and late complications associated with it.

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A forgotten biliary stent for 17 years: Presented with perforated gallbladder and stentolith

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.141931 ◽

2014 ◽

Vol 05 (01) ◽

pp. 022-023 ◽

Cited By ~ 1

Author(s):

Tejas J. Patel ◽

Sanjay Rajput ◽

K. S. Patel ◽

Sanjiv P. Haribhakti

Keyword(s):

Laparoscopic Cholecystectomy ◽

Minimally Invasive ◽

Stent Placement ◽

Unusual Case ◽

Biliary Stent ◽

Endoscopic Retrograde ◽

The Past ◽

Gangrenous Cholecystitis ◽

Biliary Diseases

AbstractEndoscopic biliary stent placement is a well-established, safe, and minimally invasive modality for the treatment of choledocholithiasis and other biliary diseases. Over the past decade, there has been an increase in its prevalence and use. We present an unusual case of forgotten biliary stent for 17 years who presented now with gangrenous cholecystitis and sealed the perforation. A large stentolith had also developed which was cleared with endoscopic retrograde cholengiography and re-stenting followed by laparoscopic cholecystectomy.

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Value of routine milking of cystic duct during laparoscopic cholecystectomy

International Surgery Journal ◽

10.18203/2349-2902.isj20173726 ◽

2017 ◽

Vol 4 (9) ◽

pp. 2889

Author(s):

Mohammed Elbalshy ◽

Ahmed Gaber ◽

Mohamed S. Ammar ◽

Hatem Soltan

Keyword(s):

Laparoscopic Cholecystectomy ◽

Bile Duct ◽

Common Bile Duct ◽

Cystic Duct ◽

University Hospital ◽

Cbd Stones ◽

Liver Functions ◽

Postcholecystectomy Pain

Background: Cystic duct stones (CDS) although they are occasionally encountered during laparoscopic cholecystectomy (LC) and are not detected easily by preoperative investigations however it is worthy to detect them intra-operatively as they will decrease the incidence of postcholecystectomy pain and they will alarm us to the more serious common bile duct (CBD) stones. So, we aimed at this study to evaluate the role of cystic duct milking in detection of cystic duct stones and its significance.Methods: This study was performed on 150 cases with calcular cholecystitis at Menofia University hospital in the period from August 2015 to May 2017. All patients had undergone LC, cystic duct milking. On table cholangiogram was done for cases that showed CDS.Results: CDS were detected in 28 cases, preoperative investigations failed to detect any of them however retrospectively 19 cases (67.8%) of them revealed to have mild transient liver functions derangement associated with acute right hypochondrial pain. Wide cystic duct (more than 4 mm) was recorded in 3 cases (10.7%) out of 28 cases that showed CDS. The incidence of association of cystic duct stones and CBD stones was found in 10 cases (35.7%).Conclusions: CDS are occasionally encountered during LC. They can be removed easily by just milking of cystic duct before clipping. The benefit is to decrease the incidence of post-cholecystectomy pain as well as it alerts us towards the more serious CBD stones. So on-table cholangiogram at that time becomes mandatory to avoid missed stone.

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An unusual case of primary extranodal lymphoma of the gallbladder

Hematology Reports ◽

10.4081/hr.2017.6972 ◽

2017 ◽

Vol 9 (1) ◽

Cited By ~ 1

Author(s):

Roberto Pezzuto ◽

Davide Di Mauro ◽

Luca Bonomo ◽

Amita Patel ◽

Edoardo Ricciardi ◽

...

Keyword(s):

Computed Tomography ◽

Laparoscopic Cholecystectomy ◽

Rare Case ◽

Unusual Case ◽

Chronic Cholecystitis ◽

Low Grade ◽

Computed Tomography Scan ◽

Small Lymphocytic Lymphoma ◽

Gradual Onset ◽

Tomography Scan

Primary gallbladder lymphoma is an extremely rare disease. We report a case of a 63 year-old woman who has been admitted with gradual onset abdominal pain in the upper right quadrant and in the suprapubic region, nausea and malaise. According to the computed tomography scan of the abdomen, which was suggestive of chronic cholecystitis, she was treated conservatively. A laparoscopic cholecystectomy was performed 5 months later and the histological examination of the gallbladder showed a low grade small lymphocytic lymphoma. The patient has been taken over by the hematology team who kept her under surveillance as no further treatment was deemed as necessary. The purpose of this paper is to report a rare case of primary gallbladder lymphoma and to demonstrate that a laparoscopic cholecystectomy may be a valid treatment for this disease.

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