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2021, Number 4

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Acta Med 2021; 19 (4)

Postcholecystectomy syndrome due to fallen gallstones

Cajal CJR, Tobajas MP, Castejón RJ
Full text How to cite this article 10.35366/102547

DOI

DOI: 10.35366/102547
URL: https://dx.doi.org/10.35366/102547

Language: Spanish
References: 5
Page: 558-561
PDF size: 190.40 Kb.


Key words:

Postcholecystectomy syndrome, lithiasis, laparoscopy.

ABSTRACT

Introduction: Post-cholecystectomy syndrome is a set of gastrointestinal symptoms that can be organic or functional and of biliary or non-biliary origin. On certain occasions, it occurs some time after having performed a laparoscopic cholecystectomy, due to the presence of intraperitoneal lithiasis released during the said intervention. Clinical case: Middle-aged patient who came to the emergency room for abdominal pain focused on the right upper quadrant, who had undergone laparoscopic cholecystectomy months before. The imaging tests were carried out to reveal the existence of heterogeneous collections with lithiasis in their interior in a subhepatic and right subphrenic location, compatible with abscesses derived from residual lithiasis. The patient was intervened by surgery with the drainage and aspiration of said abscesses. Post-colecystectomy syndrome is a common condition of recurrence of biliary symptoms that occurs in patients with a history of previous laparoscopic cholecystectomy. Individualized diagnosis and treatment strategies are required for optimal management and results, depending on the surgical treatment of the majority of cases.


REFERENCES

  1. Castellón-Pavón CJ, Morales-Artero S, Martínez-Pozuelo A, Valderrábano-González S. Complicaciones por cálculos y clips intraabdominales abandonados durante una colecistectomía laparoscópica. Cir Esp. 2008; 84 (1): 3-9.

  2. Khan M, Khatri M, Oonwala Z. Knowledge and practices of general surgeons and residents regarding spilled gallstones lost during laparoscopic cholecystectomy: a cross sectional survey. Patient Saf Surg. 2013; 7 (1): 27.

  3. Pérez JM, Araújo AAB, Pérez C, Forero J, Grillo CPA, Riascos CEY et al. Hallazgos imagenológicos en cálculos abandonados en cavidad abdominal posterior a colecistectomía por laparoscopia: serie de 7 casos y revisión de la literatura. Rev Colomb Gastroenterol. 2007; 32 (3): 274-282.

  4. Castellón PCJ, Fernández BM, Morales AS, Del Amo OE. Absceso subhepático como complicación tardía de un cálculo intraperitoneal abandonando tras una colecistectomía laparoscópica. Gastronenterol Hepatol. 2004; 27 (10): 568-572.

  5. Gayer G, Petrovitch I, Jeffrey RB. Foreign objects encountered in the abdominal cavity at CT. Radiographics. 2011; 31 (2): 409-428.




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Acta Med. 2021;19