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Remnant Cholecystitis After Subtotal Cholecystectomy: A Case Report.
Heather L Mateja1,2, Danielle A Rowe1,2, Allen Tsai2
1General Surgery, American University of Antigua, Osbourn, ATG.
Cureus
|November 18, 2024
Summary
Remnant cholecystitis, inflammation of the gallbladder remnant after subtotal cholecystectomy (STC), is a rare but serious complication. This case underscores the need for better diagnosis and management of this condition to prevent long-term issues.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Subtotal cholecystectomy (STC) is a surgical procedure to remove part of the gallbladder.
- A rare complication of STC, particularly with reconstituting techniques, is remnant cholecystitis.
Observation:
- A 39-year-old female presented with severe right upper quadrant pain, nausea, and vomiting 11 years post-STC.
- Ultrasound revealed gallstones in the gallbladder remnant.
Findings:
- The patient required a completion cholecystectomy to address the symptomatic remnant cholecystitis.
- Recurrent or retained gallstones in the gallbladder remnant are the primary cause of inflammation.
Implications:
- Increased awareness of remnant cholecystitis is crucial for healthcare providers.
- Development of standardized diagnostic and management guidelines is needed to improve patient outcomes.
- Further research is required to optimize treatment strategies for this rare condition.
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