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Related Concept Videos

Gallbladder01:17

Gallbladder

880
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Evaluation of online Spanish and English health materials for preventive mastectomy. are we providing adequate information?

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Related Experiment Video

Updated: Sep 6, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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[Remnant gallbladder cholecystitis, an increasingly common entity: Case report].

Guillermo Álvarez-Sánchez1, Diana D Del Valle2, Hernán Gustavo Maydón-González3

  • 1Centro Hospitalario Nuevo Sanatorio Durango, Servicio de Cirugía General. Ciudad de México, México.

Revista Medica Del Instituto Mexicano Del Seguro Social
|June 28, 2022
PubMed
Summary

Subtotal cholecystectomy, while useful for difficult cases, can lead to complications like gallbladder remnant cholecystitis. Early diagnosis and management are crucial for patient outcomes.

Keywords:
CholecystectomyCholecystitisGallbladder RemnantPartial Cholecystectomy

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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Minimally Invasive Surgical Techniques
  • Biliary Tract Pathology

Background:

  • Subtotal cholecystectomy, introduced in 1985, serves as an alternative for challenging cholecystectomies.
  • Classified into reconstituted and fenestrated types, it carries risks of biliary leakage (up to 10.6%) and gallbladder remnant cholecystitis (2.2%).
  • This report emphasizes accurate diagnosis of complications following subtotal cholecystectomy.

Observation:

  • A 72-year-old male presented with right hypochondrium pain and vomiting six years post-open subtotal cholecystectomy.
  • He had a history of biliary pancreatitis and choledocholithiasis, previously managed with endoscopic retrograde cholangiopancreatography (ERCP).
  • The patient was diagnosed with cholecystitis of the gallbladder remnant and successfully treated with laparoscopic remnant cholecystectomy.

Findings:

  • Subtotal cholecystectomy, though sometimes necessary, is associated with significant postoperative complications.
  • Gallbladder remnant cholecystitis is a notable complication requiring potential reintervention.
  • The case highlights the importance of considering subtotal cholecystectomy complications in patients with relevant surgical history.

Implications:

  • Subtotal cholecystectomy may necessitate complex surgical reinterventions due to potential complications.
  • Total cholecystectomy should be prioritized when feasible to mitigate risks associated with subtotal procedures.
  • Adequate diagnostic evaluation is critical for managing patients with a history of subtotal cholecystectomy.