148 results match your criteria intraoperatively gallstone


A Case of Gallstones Causing Pelvic Pain.

Case Rep Surg 2021 19;2021:5553994. Epub 2021 Jul 19.

Department of Surgery, Tamworth Base Hospital, 2340 Tamworth, New South Wales, Australia.

Introduction: Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history. We report a case of pelvic pain secondary to multiple gallstones found within the pelvic cavity postlaparoscopic cholecystectomy. Read More

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Gallstone Ileus Treated by Incidental Meckel's Diverticulectomy.

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

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A unique presentation of perforated duodenal ulcer in a postpartum woman: a case report.

J Surg Case Rep 2020 Dec 17;2020(12):rjaa459. Epub 2020 Dec 17.

Department of Surgery, Jersey Shore University Medical Center, Neptune City, NJ, USA.

Gallbladder disease and peptic ulcer disease (PUD) can present very similarly, and misdiagnosis can often result because of conflicting symptoms. PUD in pregnancy is relatively rare, in part due to the changes in estrogen and progesterone levels. We present a case of a postpartum female, post operation Day 5, with signs/symptoms, physical exam and laboratory work consistent with acute cholecystitis that was found to have a perforated duodenal ulcer intraoperatively. Read More

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December 2020

Xanthogranulomatous cholecystitis: a rare gallbladder pathology from a single-center perspective.

Ann Surg Treat Res 2020 Oct 24;99(4):230-237. Epub 2020 Sep 24.

Department of General Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey.

Purpose: The aim of this study was to review patients with xanthogranulomatous cholecystitis (XGC).

Methods: A total of 79 patients diagnosed with XGC were included in the study. The criteria for XGC in the pathology specimens were the presence of histiocytes, cholesterol deposits, lipids, and focal or widespread wall enlargement. Read More

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October 2020

Contemporary management of concomitant gallstones and common bile duct stones: a survey of Spanish surgeons.

Surg Endosc 2020 Sep 23. Epub 2020 Sep 23.

Department of Abdominal and General Surgery, Hospital Universitari de Tarragona, Joan XXIII, Dr Mallafre Guasch, 4, 43005, Tarragona, Spain.

Background: Concomitant gallstones and common bile duct stones (CBDS) is a relatively frequent presentation. The optimal treatment remains controversial and the debate persists between two strategies. The one-stage approach: laparoscopic cholecystectomy with laparoscopic common bile duct exploration (LCBDE) has been shown to be equally safe and more cost-effective than the more traditional two-stage approach: endoscopic retrograde cholangiography followed by laparoscopic cholecystectomy (ERCP + LC). Read More

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September 2020

Cost effectiveness of intraoperative laparoscopic ultrasound for suspected choledocholithiasis; outcomes from a specialist benign upper gastrointestinal unit.

Ann R Coll Surg Engl 2020 Oct 15;102(8):598-600. Epub 2020 Jun 15.

Torbay Hospital, Torquay, Devon, UK.

Introduction: Common bile duct stones are present in 10% of patients with symptomatic gallstones. One-third of UK patients undergoing cholecystectomy will have preoperative ductal imaging, commonly with magnetic resonance cholangiopancreatography. Intraoperative laparoscopic ultrasound is a valid alternative but is not widely used. Read More

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October 2020

The location of bile duct stones may affect intra- and postoperative cholecystectomy outcome: A population-based registry study.

Am J Surg 2020 10 28;220(4):1038-1043. Epub 2020 Mar 28.

Department of Clinical Science and Education Södersjukhuset, Karolinska Institutet, Stockholm, Department of Surgery, Södersjukhuset, Stockholm, Sweden.

Background: Treatment for bile duct stones (BDS) depends largely on anatomical circumstances; yet, whether the outcome of cholecystectomies is impacted by the localization of intraoperatively discovered BDS remains largely unknown.

Methods: A population-based registry study using data from the national Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks). 115,084 cholecystectomies 2006-2016 with the indications gallstone colic or complications were included. Read More

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October 2020

Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management.

Euroasian J Hepatogastroenterol 2019 Jan-Jun;9(1):14-19

Department of Surgery, ESI Posgraduate Institute of Medical Science and Research and Hospital, New Delhi, India.

Introduction: Gallstone disease is one of the most common surgical diseases. Complications associated with cholelithiasis is not uncommon, but gallbladder perforation is a rare complication of acute cholecystitis with cholelithiasis. This gallbladder perforation may present in different ways like free perforation inside peritoneal cavity causing generalized peritonitis, localized collection around gallbladder fossa after perforation and in chronic cases cholecystoenteric fistula. Read More

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January 2020

Drain in laparoscopic cholecystectomy in acute calculous cholecystitis: a randomised controlled study.

Postgrad Med J 2020 Oct 23;96(1140):606-609. Epub 2019 Dec 23.

Surgical Gastroenterology, Calcutta Medical Research Institute, Kolkata, India

Background: There is paucity of evidence regarding the role of drain in laparoscopic cholecystectomy (LC) in acute calculous cholecystitis (ACC), and surgeons have placed the drains based on their experiences, not on evidence-based guidelines. This study aims to assess the value of drain in LC for ACC in a randomised controlled prospective study.

Patients And Methods: All patients with mild and moderate ACC undergoing LC were assessed. Read More

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October 2020

Early-stage T1b adenocarcinoma arising in the remnant cystic duct after laparoscopic cholecystectomy: a case report and literature review.

BMC Surg 2019 Nov 29;19(1):183. Epub 2019 Nov 29.

Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.

Background: The cystic duct has been included in the staging classification scheme for gallbladder cancer since the 2010 publication of the AJCC Cancer Staging Manual (7th edition). To our knowledge, only seven other cases of adenocarcinoma arising in the remnant cystic duct following cholecystectomy have been reported in the English-language literature, and none has been reported as primary early-stage T1b remnant cystic duct cancer (CDC). We report, herein, a case of primary adenocarcinoma arising in the remnant cystic duct in a patient with history of laparoscopic cholecystectomy for gallstone disease. Read More

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November 2019

Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review.

Case Rep Gastrointest Med 2019 3;2019:8907068. Epub 2019 Oct 3.

West Virginia University, Department of Surgery, Morgantown, WV, USA.

Background: Gallstone ileus (GSI) is a rare form of small bowel obstruction (SBO) in patients with cholelithiasis, which is often poorly managed. Enhanced abdominal computed tomography (CT) with contrast is considered the most helpful diagnostic tool, as it is highly sensitive, specific, and accurate. We report an interesting case of recurrent GSI that was not detected by CT but diagnosed intraoperatively. Read More

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October 2019

Gallstone ileus managed with enterolithotomy.

BMJ Case Rep 2019 Oct 13;12(10). Epub 2019 Oct 13.

Wexham Park Hospital, Slough, UK.

Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, other presentations include gallstone ileus, Mirizzi syndrome, Bouveret syndrome and gallstone ileus. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula into the gastrointestinal tract and causes obstruction, usually at the ileocaecal valve. It represents an uncommon complication of cholelithiasis, accounting for 1%-4% of all cases of mechanical bowel obstruction and 25% of all cases in individuals aged >65 years. Read More

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October 2019

An emergency case of small bowel obstruction due to multiple gallstones in a limited resource setting.

Int J Surg Case Rep 2019 23;63:104-107. Epub 2019 Sep 23.

Department of Radiology - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta 55281, Indonesia. Electronic address:

Introduction: Gallstone ileus is an uncommon intestinal obstruction caused by impaction of gallstones passing through the cholecysto-intestinal fistula. Diagnosis of gallstone ileus remains a major challenge because the symptoms and signs are unspecific and the recommended laboratory examinations are not always available particularly in limited health resource settings including in Indonesia. In addition, treatment of choice is still debatable involving enterolithotomy only with or without additional cholecystectomy and fistula repair in one or two-stage surgery. Read More

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September 2019

Mirizzi syndrome: a challenging diagnosis. Case report.

G Chir 2019 May-Jun;40(3):193-198

Mirizzi Syndrome (MS) is an uncommon complication of chronic gallstone disease defined as a common bile duct (CBD) obstruction secondary to gallstone impaction in the cystic duct or gallbladder neck. MS is still a challenging clinical situation: preoperative diagnosis of MS is complex and can be made in 18-62.5% of patients. Read More

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February 2020

An unusual presentation of acute cholecystitis: gallbladder volvulus.

J Surg Case Rep 2019 Jul 31;2019(7):rjz221. Epub 2019 Jul 31.

Department of General Surgery, UPMC Pinnacle Community Osteopathic Hospital, 4300 Londonderry Rd, Harrisburg, PA, USA.

Gallbladder volvulus is a rare condition with similar presentation to acute cholecystitis. It is caused by the gallbladder twisting upon its mesentery leading to potential ischemia and biliary obstruction. A 77-year-old female presented with symptoms of right upper quadrant pain and nausea. Read More

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A case of ectopic liver tissue adherent to the gallbladder.

J Surg Case Rep 2018 Jun 20;2018(6):rjy128. Epub 2018 Jun 20.

Department of Surgery, University Hospital Waterford, Waterford, Ireland.

We report a case of a 30-year-old lady who presented to the emergency department with a 1 day history of severe epigastric pain which radiated to the back. Focused history, physical exam findings, haematological and radiological investigations, including ultrasound scanning of the abdomen, supported the diagnosis of acute gallstone pancreatitis. She was managed conservatively and underwent elective laparoscopic cholecystectomy at a later date. Read More

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Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report.

BMC Surg 2018 Jun 19;18(1):43. Epub 2018 Jun 19.

Alfaisal University, Riyadh, Saudi Arabia.

Background: Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical interventions. However, it is a rare complication of LRYGB. Read More

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A case report on a left sided gallbladder: A rare finding during cholecystectomy.

Int J Surg Case Rep 2017 14;41:398-400. Epub 2017 Nov 14.

Queen Elizabeth The Queen Mother Hospital, East Kent Hospital Univeristy NHS Foundation Trust, United Kingdom.

Introduction: Cholecystectomy is the surgical removal of gallbladder for symptomatic gallstones disease or where exist the risk of gallbladder malignancy. Its performed routinely across the globe often as day surgery. In this case report, we describe an incidental intra operative finding of a left sided gallbladder creating a technical challenge for the surgeon. Read More

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November 2017

Bile Spillage as a Risk Factor for Surgical Site Infection after Laparoscopic Cholecystectomy: A Prospective Study of 1,001 Patients.

J Am Coll Surg 2018 06 2;226(6):1030-1035. Epub 2018 Mar 2.

Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:

Background: Bile spillage (BS) occurs frequently during laparoscopic cholecystectomy, yet its impact on postoperative outcomes remains unknown. We hypothesized that BS increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy.

Study Design: Patients older than 18, who were admitted to an academic hospital for a laparoscopic (or laparoscopic converted to open) cholecystectomy, from May 2010 to March 2017, were prospectively included. Read More

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Gallbladder Hypoplasia, a Congenital Abnormality of the Gallbladder: A Case Report.

Am J Case Rep 2017 Dec 11;18:1320-1324. Epub 2017 Dec 11.

Third Department of Surgery, University Hospital of Thessaloniki AHEPA, Thessaloniki, Greece.

BACKGROUND There are different variations in the anatomy of the gallbladder. Congenital abnormalities of the gallbladder such as agenesis and hypoplasia are rare conditions and difficult to diagnose with imaging studies. Patients are usually asymptomatic or have symptoms that mimic gallstone disease. Read More

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December 2017

Mirizzi syndrome: necessity for safe approach in dealing with diagnostic and treatment challenges.

Ann Hepatobiliary Pancreat Surg 2017 Aug 31;21(3):122-130. Epub 2017 Aug 31.

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Backgrounds/aims: The challenging dilemma of Mirizzi syndrome for operating surgeons arises from the difficulty to diagnose it preoperatively, and approximately 50% of cases are diagnosed intraoperatively. In this study, we analysed the effectiveness of diagnostic modalities and treatment options in our series of Mirizzi syndrome.

Methods: Patients had a preoperative or intraoperative diagnosis of Mirizzi syndrome, and were classified into three groups: Group 1: Incidental finding of Mirizzi syndrome intraoperatively (n=34). Read More

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Spontaneous cholecystocutaneous fistula as a primary manifestation of gallbladder adenocarcinoma associated with gallbladder lithiasis - case report.

Rom J Morphol Embryol 2017 ;58(2):575-583

IInd Surgical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania;

Spontaneous cholecystocutaneous fistula (SCF) is a rare complication of neglected calculous biliary disease and also an extremely rare complication of gallbladder neoplasm. This pathology has become even rarer because of prompt diagnosis and expedient surgical intervention for gallstones. So far, there is one published report of a SCF due to gallbladder adenocarcinoma. Read More

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Cholelithiasis - always infected?

Pol Przegl Chir 2017 Jun;89(3):23-26

Department of General and Oncological Surgery, Medical University of Lodz, Poland.

This study aims to present results regarding the presence and identification of bacterial strains found in bile and gallstones located in the gallbladder and bile ducts in patients operated on due to cholelithiasis.

Materials And Methods: Bacterial culture was evaluated in 92 patients. There were 54 women (59%) and 38 men (41%) who underwent surgery on account of cholelithiasis and /or gallstones in bile ducts between 2013 and 2014. Read More

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[Intraoperatively unrecognized central bile duct injury : In open converted, laparoscopically begun cholecystectomy].

Chirurg 2017 May;88(5):442-445

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45147, Essen, Deutschland.

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Predictors of incidental gallbladder cancer in patients undergoing cholecystectomy for benign gallbladder disease: Results from a population-based gallstone surgery registry.

Surgery 2017 08 8;162(2):256-263. Epub 2017 Apr 8.

Department of Surgery, Clinical Sciences Lund, Lund University, and Skåne University Hospital, Lund, Sweden. Electronic address:

Background: Gallbladder cancer is a rare neoplasm with a poor prognosis. Early diagnosis and correct treatment strategy is important. The aim of this study was to identify predictors for incidental gallbladder cancer. Read More

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Passage of Gallstones Into Common Bile Duct During Laparoscopic Cholecystectomy: Is It the Surgeon's Responsibility?

Surg Laparosc Endosc Percutan Tech 2017 Apr;27(2):110-112

Department of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Purpose: Gallstones patients without preoperative history of jaundice, deranged liver function tests, or dilated bile ducts (BD) are unlikely to have BD stones. However, some of these patients in our series underwent endoscopic stone(s) removal after laparoscopic cholecystectomy (LC). We aim to find the incidence, possible intraoperative risk factors, and if the Surgeon can be blamed for this event. Read More

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Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement.

Ulus Cerrahi Derg 2016 1;32(4):300-305. Epub 2016 Dec 1.

Turkish Association of Hepatopancreatobiliary Surgery Study Group, Ankara, Turkey.

Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0. Read More

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December 2016

Management of Mirizzi Syndrome in Emergency.

J Laparoendosc Adv Surg Tech A 2017 Jan 9;27(1):28-32. Epub 2016 Sep 9.

1 Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University Medical School "A. Moro" of Bari , Bari, Italy .

Introduction: Mirizzi syndrome (MS) is a rare complication of cholelithiasis. Despite the success of laparoscopic cholecystectomy as a minimally invasive approach to gallstone disease, MS remains a challenge, also for open and robotic approaches, due to the subverted anatomy of the hepatocystic triangle. Moreover, when emergency surgery is needed, the optimal preoperative diagnostic assessment could not be always achievable. Read More

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January 2017

Successful treatment of limy bile syndrome extending to the common bile duct by laparoscopic cholecystectomy and common bile duct exploration: A case report and literature review.

Asian J Endosc Surg 2017 Feb 24;10(1):59-62. Epub 2016 Aug 24.

Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Limy bile syndrome extending to the common bile duct (CBD) is a rare condition that lacks a standardized treatment. Laparoscopic cholecystectomy with laparoscopic choledocholithotomy by CBD exploration is preferred because it preserves the function of the sphincter of the Vater's papilla and allows treatment of both lesions. A 37-year-old man who was receiving entecavir for chronic hepatitis B developed right upper quadrant pain. Read More

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February 2017