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Over Three Hundred Gallstones Removed Through Difficult Cholecystectomy - A Case Report
Insights
This study highlights a case of acute cholecystitis in a 49-year-old male, emphasizing that clinical examination, lab tests, and ultrasound are key for diagnosing gallstones. Cholecystectomy remains the primary treatment for symptomatic gallstone disease.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Cholelithiasis, or gallstones, is a prevalent gastrointestinal disorder with significant global healthcare costs.
- Cholesterol hypersaturation is the primary driver of gallstone formation.
- While age and female sex are known risk factors, recent research indicates a strong link between obesity and cholesterol gallstones.
Purpose of the Study:
- To present a case report of acute cholecystitis in a middle-aged male patient.
- To underscore the diagnostic utility of clinical examination, laboratory analyses, and abdominal ultrasound in gallstone disease.
- To reinforce the surgical management of symptomatic and asymptomatic gallstones.
Main Methods:
- A case report detailing a 49-year-old male presenting with acute abdominal pain.
- Diagnostic procedures included physical examination, abdominal ultrasound, and laboratory analyses.
- Surgical intervention via cholecystectomy was performed.
Main Results:
- Diagnosis of acute cholecystitis was confirmed through clinical, laboratory, and imaging findings.
- The cholecystectomy revealed a thickened gallbladder wall with gangrenous mucosa.
- Over 300 gallstones, measuring 2-5 mm, were removed from the gallbladder.
Conclusions:
- Clinical examination, laboratory analyses, and abdominal ultrasound are essential diagnostic modalities for gallstone disease.
- Cholecystectomy is the definitive treatment for both symptomatic and asymptomatic gallstones.
- Prompt diagnosis and surgical intervention are crucial for managing acute cholecystitis.
Abstract:
Background: Cholelithiasis is a common gastrointestinal condition that significantly burdens healthcare systems worldwide. The primary cause of gallstone production is cholesterol hypersaturation. Age and female sex are considered more potent risk factors than other factors, but recent studies presented strong associations between cholesterol gallstones and obesity. Case report: We present a case of a 49-year-old male patient with acute onset intensive abdominal pain in the right upper quadrant. Physical examination, abdominal ultrasound, and laboratory analyses confirmed the diagnosis of acute cholecystitis. The cholecystectomy was done and was found a thickened gall bladder wall with gangrenous mucosa and over 300 gallstones sizes ranging from 2 mm to 5 mm inside it. Conclusions: Clinical examination of the patient, laboratory analyses, and abdominal ultrasound diagnoses are gold-standard diagnostic tools. The mainstay of treatment of symptomatic and asymptotic gallstone diseases is surgery, cholecystectomy.
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