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Cholecystitis

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

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Published on: November 25, 2025

Lessons Learned From Cholecystectomy for a Giant Gallstone.

Shasha Haycock^1,2, Jordan Dewei Lee¹, Annie Jiao Wang¹

¹Department of General Surgery Northeast Health Wangaratta Wangaratta Victoria Australia.

Clinical Case Reports

|December 24, 2025

Summary

Giant gallstones are rare surgical challenges. This case highlights successful management of a chronically inflamed gallbladder with a giant gallstone, detailing diagnostic and surgical considerations.

Keywords:

cholecystectomy cholecystitis cholelithiasis gallstones laparoscopy porcelain gallbladder

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Area of Science:

Gastroenterology and Hepatobiliary Surgery
Surgical Case Reports

Background:

Giant gallstones are uncommon and can present significant surgical difficulties.
Porcelain gallbladder, a risk factor for gallbladder cancer, requires careful preoperative assessment.

Purpose of the Study:

To report the successful management of a complex case involving a giant gallstone within a chronically inflamed gallbladder.
To discuss diagnostic considerations and surgical strategies for managing technical challenges associated with giant gallstones.

Main Methods:

Case presentation of an 81-year-old female with acute cholecystitis and a giant gallstone.
Initial conservative management followed by elective laparoscopic cholecystectomy, converted to open surgery due to technical challenges.
Detailed exploration of diagnostic imaging and surgical decision-making process.

Main Results:

Successful surgical removal of a giant gallstone from a chronically inflamed gallbladder.
Management involved addressing technical difficulties encountered during the cholecystectomy.
Patient achieved a good clinical outcome post-operatively.

Conclusions:

Giant gallstones, though rare, necessitate tailored surgical approaches.
Careful preoperative evaluation and intraoperative flexibility are crucial for managing complex gallstone disease.
This case underscores the importance of adapting surgical techniques to overcome unique challenges in hepatobiliary surgery.