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A phantom gallbladder on endoscopic retrograde cholangiopancreatography
Jinhong Xing1, Jeremy Rochester, Caroline K Messer
1Gastroenterology and Radiology Programs, James J Peters VA Medical Center, 130 W. Kingsbridge Road, Bronx, NY 10468, USA.
World Journal of Gastroenterology
|December 12, 2007
Summary
Late complications after laparoscopic cholecystectomy are rare. This case highlights a gallbladder remnant communicating with the bile duct 10 years post-surgery, emphasizing the importance of vigilant follow-up for gallbladder fossa issues.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Minimally Invasive Surgical Techniques
- Post-Surgical Complication Analysis
Background:
- Laparoscopic cholecystectomy is a common procedure with generally low complication rates.
- Most complications manifest early; very late sequelae are infrequently reported.
- This report details a unique case of delayed complications years after gallbladder removal.
Observation:
- A patient developed a gallbladder fossa abscess 6 years post-laparoscopic cholecystectomy.
- The abscess was successfully treated with CT-guided aspiration.
- Follow-up imaging revealed a persistent gallbladder remnant communicating with the common bile duct.
Findings:
- A patent cystic duct stump can remain functional for many years.
- Gallbladder fossa abscesses can occur significantly later than typically observed.
- Endoscopic retrograde cholangiopancreatography (ERCP) identified a residual gallbladder structure.
Implications:
- This case underscores the potential for long-term, unexpected complications following cholecystectomy.
- It highlights the need for thorough evaluation of persistent symptoms in the gallbladder fossa.
- Surgical technique and long-term anatomical changes after cholecystectomy warrant further investigation.
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