A phantom gallbladder on endoscopic retrograde cholangiopancreatography

Various complications have been related to laparoscopic cholecystectomy but most occur shortly after the procedure. In this report, we present a case with very late complications in which an abscess developed within the gallbladder fossa 6 years after laparoscopic cholecystectomy. The abscess resolv...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2007-12, Vol.13 (46), p.6274-6276
Main Authors: Xing, Jinhong, Rochester, Jeremy, Messer, Caroline K, Reiter, Bruce P, Korsten, Mark A
Format: Article
Language:English
Subjects:
Abscess - etiology
Abscess - pathology
Aged
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic - adverse effects
Choledocholithiasis - diagnostic imaging
Gallbladder - pathology
Gallbladder - surgery
Humans
Male
Time Factors
Tomography, X-Ray Computed
内窥镜检查
并发症
胆囊切除术
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Description
Summary:Various complications have been related to laparoscopic cholecystectomy but most occur shortly after the procedure. In this report, we present a case with very late complications in which an abscess developed within the gallbladder fossa 6 years after laparoscopic cholecystectomy. The abscess resolved after treatment with CT-guided extrahepatic aspiration. However, 4 years later, an endoscopic retrograde cholangiopancreatography （ERCP） performed for choledocholithiasis demonstrated a “gallbladder” which communicated with the common bile duct via a patent cystic duct. This unique case indicates that a cystic duct stump may communicate with the gallbladder fossa many years following cholecystectomy.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.13.6274