Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy
Cholecystectomy is one of the most commonly performed surgical procedures in the United States. A common complication is dropped gallstones, and the diversity of their presentation poses a substantial diagnostic challenge. We report the case of a 58-year-old man presenting with chronic right upper q...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/930450 |
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| author | Samba Binagi Jason Keune Michael Awad |
| author_facet | Samba Binagi Jason Keune Michael Awad |
| author_sort | Samba Binagi |
| collection | DOAJ |
| description | Cholecystectomy is one of the most commonly performed surgical procedures in the United States. A common complication is dropped gallstones, and the diversity of their presentation poses a substantial diagnostic challenge. We report the case of a 58-year-old man presenting with chronic right upper quadrant hours status post cholecystectomy. Imaging demonstrated retained gallstones in the perihepatic space and symptoms remitted following their removal via laparoscopic operation. Gallstones are lost in roughly 1 in 40 cholecystectomies and are usually asymptomatic. The most common presentations are months or years status post cholecystectomy due to fistula, abscess, or sinus tract formation. We report this case hoping to bring light to a rare presentation for dropped gallstones and provide advice on the management of this common complication of cholecystectomy. |
| format | Article |
| id | doaj-art-c9c7d5810145445ba413697d8ebe290b |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-c9c7d5810145445ba413697d8ebe290b2025-02-03T01:23:29ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/930450930450Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic CholecystectomySamba Binagi0Jason Keune1Michael Awad2Department of Surgery, Washington University School of Medicine, Campus Box 8109, 660 South Euclid Avenue, St. Louis, MO 63110, USASaint Louis University School of Medicine, St. Louis, MO, USADepartment of Surgery, Washington University School of Medicine, Campus Box 8109, 660 South Euclid Avenue, St. Louis, MO 63110, USACholecystectomy is one of the most commonly performed surgical procedures in the United States. A common complication is dropped gallstones, and the diversity of their presentation poses a substantial diagnostic challenge. We report the case of a 58-year-old man presenting with chronic right upper quadrant hours status post cholecystectomy. Imaging demonstrated retained gallstones in the perihepatic space and symptoms remitted following their removal via laparoscopic operation. Gallstones are lost in roughly 1 in 40 cholecystectomies and are usually asymptomatic. The most common presentations are months or years status post cholecystectomy due to fistula, abscess, or sinus tract formation. We report this case hoping to bring light to a rare presentation for dropped gallstones and provide advice on the management of this common complication of cholecystectomy.http://dx.doi.org/10.1155/2015/930450 |
| spellingShingle | Samba Binagi Jason Keune Michael Awad Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy Case Reports in Surgery |
| title | Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy |
| title_full | Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy |
| title_fullStr | Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy |
| title_full_unstemmed | Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy |
| title_short | Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy |
| title_sort | immediate postoperative pain an atypical presentation of dropped gallstones after laparoscopic cholecystectomy |
| url | http://dx.doi.org/10.1155/2015/930450 |
| work_keys_str_mv | AT sambabinagi immediatepostoperativepainanatypicalpresentationofdroppedgallstonesafterlaparoscopiccholecystectomy AT jasonkeune immediatepostoperativepainanatypicalpresentationofdroppedgallstonesafterlaparoscopiccholecystectomy AT michaelawad immediatepostoperativepainanatypicalpresentationofdroppedgallstonesafterlaparoscopiccholecystectomy |