A phantom gallbladder on endoscopic retrograde cholangiopancreatography.
Various complications have been related to laparoscopic cholecystectomy but most occur shortly after the procedure. In this report, we present a case with very late complications in which an abscess developed within the gallbladder fossa 6 years after laparoscopic cholecystectomy. The abscess resolved after treatment with CT-guided extrahepatic aspiration. However, 4 years later, an endoscopic retrograde cholangiopancreatography (ERCP) performed for choledocholithiasis demonstrated a "gallbladder" which communicated with the common bile duct via a patent cystic duct. This unique case indicates that a cystic duct stump may communicate with the gallbladder fossa many years following cholecystectomy.
Xing
Jinhong
J
Gastroenterology and Radiology Programs, James J Peters VA Medical Center, 130 W. Kingsbridge Road, Bronx, NY 10468, USA.
Rochester
Jeremy
J
Messer
Caroline K
CK
Reiter
Bruce P
BP
Korsten
Mark A
MA
D000038:Abscess / Q000209:etiology / Q000473:pathology; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D042883:Choledocholithiasis / Q000000981:diagnostic imaging*; D005704:Gallbladder / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed