PT  - JOURNAL ARTICLE
AU  - Paul M E L van Dam
AU  - Shandrich M Alexander
AU  - Ellen Degreef
AU  - Jan M J I Salemans
AU  - Rudi M H Roumen
TI  - Symptomatic cholecystolithiasis after cholecystectomy
AID  - 10.1136/bcr-2012-007692
DP  - 2013 Jan 28
TA  - BMJ Case Reports
PG  - bcr2012007692
VI  - 2013
4099  - http://casereports.bmj.com/content/2013/bcr-2012-007692.short
4100  - http://casereports.bmj.com/content/2013/bcr-2012-007692.full
AB  - 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.