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

Symptomatic cholecystolithiasis after cholecystectomy.

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  • 1Department of Internal Medicine, Maxima Medisch Centrum, Veldhoven, Netherlands. p_vandam@live.nl

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.

PMID:
23362056
[PubMed - indexed for MEDLINE]
PMCID:
PMC3604008
Free PMC Article
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