Residual gallbladder stones after cholecystectomy

سال انتشار: 1401
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 128

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شناسه ملی سند علمی:

CCRMED04_050

تاریخ نمایه سازی: 16 اسفند 1401

چکیده مقاله:

Introduction: Cholecystectomy is one of the most common surgeries in the world. The gallbladder is removed due to acute or chronic cholecystitis or obstruction of the bile duct, or the presence of residual stones. In some cases, part of the gallbladder may remain in place for various reasons, including lack of access and adequate vision.Aim:The purpose of this study is to describe a patient who, after cholecystectomy surgery, had a part of the gallbladder left and again showed the symptoms of pain and inflammation of the gallbladder.Patient introduction A ۴۱-year-old male patient was referred to a physician in April ۲۰۲۱ with pain symptoms in the upper right quadrant. Due to the patient's symptoms and multiple gallstones, the patient underwent laparoscopic cholecystectomy. In July ۲۰۲۱, the patient returned to the hospital with previous symptoms. After ultrasound imaging of the right upper quadrant below the liver and at the site of the gallbladder, part of the remaining gallbladder tissue with dimensions of ۲۰×۳۳×۳۳mm and normal thickness of ۲ mm with a few stones with a diameter of ۵- ۶ mm was observed. Because of the remaining parts of the gallbladder and the symptoms of the remaining gallbladder, including fever and pain, the patient underwent cholecystectomy again to remove the remaining tissues were. After one day's say in the ward, the patient was discharged in good general condition. Within a week after surgery, the patient had no pain or complaints, and all symptoms related to the remaining gallbladder disappeared after the second surgery. Discussion and conclusion:Gallbladder retention after cholecystectomy is rare, and in cases where the patient presents after cholecystectomy with similar symptoms before surgery, there may be residual gallbladder, which can be confirmed by diagnostic tests such as ultrasound, MRCP, and Cholangiography will be usable.

نویسندگان

Fatemeh Pouladkhay

: MSC of surgical technology, Department of OperatingRoom, Faculty of paramedicine, Gonabad university of medical sciences, Gonabad, Iran

Mohammadreza Hashempour

Assistant Professor, Department of General Surgery, Army University of Medical Sciences, Tehran, Iran

Fatemehzahra Bagheri

MSC of surgical technology, Shahid Sayadshirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran

Maryam Baniaqeel

Internal Medicine Specialist, Golestan University of Medical Sciences, Gorgan, Golestan, Iran: Assistant Professor, Cancer Specialist, Faculty Member of Surgery Department, Golestan University of Medical Sciences, Gorgan, Golestan, Iran