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Retained gallbladder remnant after laparoscopic cholecystectomy.
Haralabos Demetriades1, Manousos G Pramateftakis, Ioannis Kanellos
14th Surgical Department, Aristotle University of Thessaloniki G Papanikolaou General Hospital, Thessaloniki, Greece. haral@med.auth.gr
Summary
Recurrent biliary symptoms after gallbladder removal can be caused by gallbladder remnants with stones. Laparoscopic "recholecystectomy" is the definitive treatment for these challenging cases.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biliary System Imaging
Background:
- Post-cholecystectomy syndrome can manifest as recurrent upper abdominal pain.
- Gallbladder remnants containing stones pose a diagnostic challenge in patients with persistent biliary symptoms.
Purpose of the Study:
- To analyze three cases of gallbladder remnants presenting with recurrent biliary symptoms post-cholecystectomy.
- To highlight the diagnostic and therapeutic approach for gallbladder remnant syndrome.
Main Methods:
- Case series analysis of three patients with recurrent biliary symptoms after laparoscopic cholecystectomy.
- Diagnostic imaging included transabdominal ultrasound and magnetic resonance cholangiopancreatography.
- Therapeutic interventions involved endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic recholecystectomy.
Main Results:
- Gallbladder remnants with stones were identified in all three patients.
- ERCP revealed dilated gallbladder remnants and bile duct sludge, successfully treated with sphincterotomy and duct cleansing.
- All patients achieved successful outcomes following laparoscopic recholecystectomy.
Conclusions:
- Gallbladder remnants with stones are a significant cause of unexplained post-cholecystectomy pain.
- Laparoscopic recholecystectomy offers a definitive and effective treatment for gallbladder remnant syndrome.
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