Choledocholithiasis secondary to a remnant gallbladder post cholecystectomy more than 20 years ago

Authors

  • James N. Sellars Department of General Surgery, Cairns Hospital, Cairns, Queensland, Australia
  • Ryan Green Department of General Surgery, Cairns Hospital, Cairns, Queensland, Australia
  • Omar Mouline Department of General Surgery, Cairns Hospital, Cairns, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20240306

Keywords:

Post-cholecystectomy syndrome, Remnant gallbladder, Neo-gallbladder, Choledocholithiasis

Abstract

Remnant gallbladders have been described following incomplete and sub-total cholecystectomy (TC) and have the potential to harbour gallstones and even produce new calculi over time. We present a case of choledocholithiasis in a patient with a remnant gallbladder following a presumed incomplete cholecystectomy more than 20 years prior.

 

References

Peters X, Bhargava G, Gangemi A. A case report of choledocholithiasis 33 years after cholecystectomy. Int J Surg Case Rep. 2017;41:80-82.

Grossman JG, Johnston WR, Fowler KJ, Williams GA, Hammill CW, Hawkins WG. A diagnosis reconsidered: the symptomatic gallbladder remnant. J Hepatobiliary Pancreat Sci. 2019;26(4):137-43.

Burckhardt O, Peisl S, Rouiller B, Colinet E, Egger B. Length of the Remnant Cystic Duct and Bile Duct Stone Recurrence: a Case‒Control Study. Journal of Gastrointestinal Surgery. 2023;27(6):1122-9.

Alser O, Dissanaike S, Shrestha K, Alghoul H, Onkendi E. Indications and Outcomes of Completion Cholecystectomy: A 5-year Experience from a Rural Tertiary Center. Am Surg. 2023;89(11):4584-9.

Bodvall B, Overgaard B. Cystic Duct Remnant After Cholecystectomy: Incidence Studied by Cholegraphy in 500 Cases, and Significance in 103 Reoperations. Ann Surg. 1966;163(3):381-90.

Nakajima J, Sasaki A, Obuchi T, Baba S, Nitta H, Wakabayashi G. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Today. 2009;39(10):870-75.

Strasberg SM, Pucci MJ, Brunt LM, Deziel DJ. Subtotal Cholecystectomy-"Fenestrating" vs “reconstituting” Subtypes and the Prevention of Bile Duct Injury: Definition of the Optimal Procedure in Difficult Operative Conditions. J Am Coll Surg. 2016;222(1):89-96.

Kohn JF, Trenk A, Denham W, Linn J, Haggerty S, Joehl R et al. Long-term outcomes after subtotal reconstituting cholecystectomy: A retrospective case series. Am J Surg. 2020;220(3):736-40.

Van Dijk AH, Donkervoort SC, Lameris W, de Vries E, Eijsbouts Q, Vruoenraets B et al. Short- and Long-Term Outcomes after a Reconstituting and Fenestrating Subtotal Cholecystectomy. J Am Coll Surg. 2017;225(3):371-9.

Kohga A, Suzuki K, Okumura T, Yamashita K, Isogaki J, Kawabe A et al. Calculus left in remnant gallbladder cause long-term complications in patients undergoing subtotal cholecystectomy. HPB. 2019;21(4):508-14.

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Published

2024-02-05

Issue

Section

Case Reports