Symptomatic cholecystolithiasis after cholecystectomy.
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.
Department of Internal Medicine, Maxima Medisch Centrum, Veldhoven, Netherlands. p_vandam@live.nl
Paul M E L
PM
van Dam
Shandrich M
SM
Alexander
Ellen
E
Degreef
Jan M J I
JM
Salemans
Rudi M H
RM
Roumen
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D041761:Cholecystolithiasis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003135:Common Bile Duct / Q000293:injuries*; D005260:Female; D006801:Humans