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Gallbladder

Gallbladder

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.
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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.
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Diseases of the Liver and Gallbladder

Diseases of the Liver and Gallbladder

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.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy
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Inflammatory Bowel Disease V: Surgical Management

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Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Updated: Sep 9, 2025

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

Gallstone ileus 16 years postcholecystectomy?

Roma Tarar^1,2, Anishur Rahman²

¹New York Institute of Technology College of Osteopathic Medicine, 100 Northern Blvd Glen Head, Old Westbury, NY 11542, USA.

Radiology Case Reports

|September 2, 2025

Summary

Gallstone ileus is a rare bowel obstruction caused by gallstones. This case report details an exceptionally rare instance of gallstone ileus occurring 16 years after gallbladder removal surgery.

Keywords:

Case report Cholecystitis Cystic duct stone Gallstone ileus Long cystic duct Postcholecystectomy syndrome Small-bowel obstruction

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Area of Science:

Gastroenterology
Surgical Case Reports
Abdominal Surgery

Background:

Gallstone ileus is a rare mechanical bowel obstruction caused by gallstones.
It typically occurs in patients with a history of gallbladder disease.
Gallstone ileus following cholecystectomy is exceptionally rare.

Observation:

An 87-year-old male presented with acute abdominal pain.
Exploratory laparotomy revealed a large gallstone obstructing the terminal ileum.
The patient had a history of cholecystectomy 16 years prior.

Findings:

A 2.0 cm × 2.5 cm gallstone was found impacted in the terminal ileum.
The patient experienced significant improvement after surgical removal of the gallstone.
Possible explanations include subtotal cholecystectomy or a long cystic duct remnant leading to gallstone formation or passage.

Implications:

This case highlights the possibility of late-onset gallstone ileus even years after cholecystectomy.
It underscores the importance of considering gallstone ileus in patients with prior gallbladder surgery presenting with bowel obstruction.
The increasing trend of subtotal cholecystectomies may contribute to such rare occurrences.