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Laparoscopic choledocholithotomy and transductal T-tube insertion with indocyanine green fluorescence imaging and laparoscopic ultrasound: A case report.
World J Clin Cases
October 2023
Department of Surgery, Seoul Soonchunhyang University Hospital, Seoul 04401, South Korea.
Background: Laparoscopic choledocholithotomy for a large impacted common bile duct (CBD) stone is a challenging procedure because of the technical difficulty and the possibility of postoperative complications, even in this era of minimally invasive surgery. Herein, we present a case of large impacted CBD stones.
Case Summary: A 71-year-old man showed a distal CBD stone (45 mm × 20 mm) and a middle CBD stone (20 mm × 15 mm) on computed tomography.
Inpatient Management and Treatment of a Giant Pancreatic Pseudocyst: A Case Report.
Cureus
November 2021
Internal Medicine, Riverside Regional Medical Center, Newport News, USA.
Pancreatic pseudocyst formation is a common sequela of pancreatitis caused by alcohol use or gallstones. Giant pancreatic pseudocyst is an infrequently reported but serious complication of pancreatitis. Due to the large volume of pancreatic fluid containing active enzymes, giant pancreatic pseudocysts may require surgical intervention.
View Article and Find Full Text PDFHuge gangrenous gallbladder presenting as gastro-esophageal reflux disease successfully treated by laparoscopic cholecystectomy: Case report and literature review.
Int J Surg Case Rep
October 2020
Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; Department of Surgery, University of South Florida, Tampa, FL, USA.
Article Synopsis
- Gallbladder disease, including gallstones, can lead to serious conditions like acute cholecystitis, and "giant" gallbladders, although rare, pose unique challenges to treatment.
- An 80-year-old woman experienced severe gastric reflux due to her oversized gallbladder, which was successfully removed through laparoscopic surgery, resulting in a full recovery.
- The case highlights the need for improved classification systems for gallbladder size and its impact on surgical decisions, as larger gallbladders can complicate management but still allow for successful laparoscopic interventions.
Management of Difficult Bile Duct Stones by Large Balloon, Cholangioscopy, Enteroscopy and Endosonography.
Gut Liver
May 2020
Departments of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Japan.
Endoscopic management of bile duct stones is now the standard of care, but challenges remain with difficult bile duct stones. There are some known factors associated with technically difficult bile duct stones, such as large size and surgically altered anatomy. Endoscopic mechanical lithotripsy is now the standard technique used to remove large bile duct stones, but the efficacy of endoscopic papillary large balloon dilatation (EPLBD) and cholangioscopy with intraductal lithotripsy has been increasingly reported.
View Article and Find Full Text PDFAn unusual presentation of acute cholecystitis: gallbladder volvulus.
J Surg Case Rep
July 2019
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.
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