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BMJ Case Reports 2013; doi:10.1136/bcr-2012-007692
  • CASE REPORT

Symptomatic cholecystolithiasis after cholecystectomy

  1. Rudi M H Roumen2
  1. 1Department of Internal Medicine, Maxima Medisch Centrum, Veldhoven, Netherlands
  2. 2Department of Surgery, Maxima Medisch Centrum, Veldhoven, Netherlands
  3. 3PAMM Laboratory for Pathology, Eindhoven, Netherlands
  4. 4Department of Gastroente, Maxima Medisch Centrum, Veldhoven, Netherlands
  1. Correspondence to Paul M E L van Dam, p_vandam{at}live.nl

Summary

A 43-year-old woman was admitted to the gastroenterology department with colicky pain in the upper abdomen. Four years earlier, she had undergone a laparoscopic cholecystectomy because of cholecystitis. She recognised her current complaints from that previous episode. An endoscopic retrograde cholangiopancreatography showed a cavity with a diameter of 2 cm which contained multiple concrements near the liver hilus. An elective surgical exploration was performed. Near the clip of the previous cholecystectomy a bulging of the biliary tract with its own duct was visualised and resected. Histological examination of this “neo” gallbladder showed that the bulging was consistent with the formation of a reservoir secondary to bile leakage, probably caused by a small peroperative lesion of the common bile duct during the previous cholecystectomy. In conclusion, our patient presented with colicky pain caused by concrements inside a ‘neo’ gallbladder.

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