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[Secondary acute cholecystitis (author's transl)]

P Husslein, K Meissner

    Zentralblatt Fur Chirurgie
    |January 1, 1978
    PubMed
    Summary

    Acute cholecystitis can occur after subtotal gastrectomy due to intraoperative shock and vagal denervation. Emergency cholecystectomy led to patient recovery in this case.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Hepatobiliary Surgery

    Background:

    • Subtotal gastrectomy is a surgical procedure for gastric carcinoma.
    • Postoperative complications can arise, necessitating careful patient monitoring.
    • Acute cholecystitis is inflammation of the gallbladder.

    Observation:

    • A patient developed acute cholecystitis following a subtotal gastrectomy for gastric cancer.
    • The condition appeared to be triggered by intraoperative shock and potential vagal denervation affecting the gallbladder.

    Findings:

    • The patient's acute cholecystitis was secondary to the gastrectomy procedure.
    • An emergency cholecystectomy (gallbladder removal) was performed.

    Implications:

    • This case highlights a rare but serious complication of subtotal gastrectomy.
    • Understanding the pathophysiology, including vagal nerve involvement, is crucial for managing such cases.
    • Prompt surgical intervention, like cholecystectomy, can lead to successful patient outcomes.

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