RECURRENT UPPER ABDOMINAL PAIN IN A CASE OF POST CHOLECYSTECTOMY PATIENT- A RARE CASE REPORT OF RESIDUAL GALL BLADDER AND CYSTIC DUCT STUMP STONE

Dr. Sandesh T R

Volume : IX, Issue : V, May - 2020

RECURRENT UPPER ABDOMINAL PAIN IN A CASE OF POST CHOLECYSTECTOMY PATIENT- A RARE CASE REPORT OF RESIDUAL GALL BLADDER AND CYSTIC DUCT STUMP STONE

Dr. Sandesh T R

Abstract :

INTRODUCTION: Post cholecystectomy syndrome is defined as group of symptoms such as abdominal pain and dyspepsia which remains after surgery if the gall bladder is incompletely removed. CASE PRESENTATION: A 45 year old woman with a history of open cholecystectomy presented with a complaint of recurrent upper abdominal pain. Abdominal Ultrasonography says stump of GB is visualized, a calculus of size 0.92 cm with sludge seen in lumen of stump. CBD is mild dilated (0.59cm) and MRCP shows well defined cystic area is seen at the GB fossa region likely hypertrophy stump with a hypo intense filling defect within the cystic area suggestive of left over stone. Therefore she underwent open completion cholecystectomy. DISCUSSION: Proper dissection and identification of the Gall bladder and cystic duct junction is required for cholecystectomy and preventing Post cholecystectomy pain syndrome. Open completion cholecystectomy must be performed in a patient who has been diagnosed with retained stone in a residual gall bladder. CONCLUSION: In Post cholecystectomy syndrome symptomatic patients with retained stones in partially removed Gallbladder must need an open completion cholecystectomy.