Volume : IX, Issue : VIII, August - 2020

Giant Gallbladder Calculi With Biliary Pancreatitis - A Rare Case Report

Sampath Kumar Appuchami. K, Kannan. R, Indira. G, Arun. M

Abstract :

Background Cholelithiasis is the most common cause of acute pancreatitis, accounting 35%–60% of cases and the main question is over the correct timing of every intervention. Patients who are recovering from an acute episode of biliary pancreatitis can be offered alternative options in their management, which include cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy, or conservative management with no definitive treatment. ERCP and sphincterotomy on index admission can prevent recurrent episodes of pancreatitis until cholecystectomy is performed. Case report 40 year old lady presented with complaints of upper abdominal pain for 1 week associated with nausea and vomiting . Abdomen examination showed tenderness in right hypochondrium and epigastrium. USG abdomen showed a distended gall bladder with huge calculi and grossly dilated CBD .ERCP showed choledocholithiasis .ERCP with stenting was done initially in her first admission following which laparoscopic cholecystectomy was done which showed huge gallbladder calculi measuring 7.5cm x 3cm . Conclusion Large gallstones may pose technical difficulties when performing a laparoscopic cholecystectomy. Patients with large gallstones have a higher risk of conversion to open. This particular case shows a rare presentation of biliary pancreatitis with huge gall stone treated by laparoscopic cholecystectomy

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

GIANT GALLBLADDER CALCULI WITH BILIARY PANCREATITIS - A RARE CASE REPORT, Sampath Kumar Appuchami.K, Kannan.R, Indira.G, Arun.M INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-8 | August-2020

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