Laparoscopic cholecystectomy for giant gall stone: Report of two cases
| العنوان: | Laparoscopic cholecystectomy for giant gall stone: Report of two cases |
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| المؤلفون: | O.N. Diri, P.O. Igwe |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, GALL STONE, Article, 03 medical and health sciences, Laparoscopic cholecystectomy, 0302 clinical medicine, medicine, Outpatient clinic, Laparoscopy, Calculus (medicine), medicine.diagnostic_test, business.industry, Gallbladder, digestive, oral, and skin physiology, Working diagnosis, medicine.disease, digestive system diseases, Surgery, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Giant gall stone, 030211 gastroenterology & hepatology, Multiple calculi, business |
| الوصف: | Highlights • The size of the gall stone has been frequently used as an index for tendency of a conversion from Laparoscopic to open cholecystectomy. We used laparoscopic approach to treat a giant gall stone successfully. • The dexterity and experience of the surgeon is what determines how safe choice of approach is irrespective of the size of the gall bladder. • We widened the epigastric port to retrieve the stone in first case but in the second case we widened the umbilical port. Background Giant Gallbladder calculus is an uncommon finding among Africans. This condition has paucity of reports in literature. Laparoscopic approach is even a rarer modality of treatment. Aim This is to report two cases of giant gall stone treated laparoscopically. Case Report A 32 year old female presented with a history of right hypochondrial pain, on examination, blood pressure was 110/70 mmHg, pulse was 76 beats per minute, and tender right hypochondrum. Abdominal ultrasound showed calculus in gall bladder working diagnosis was Acute Cholecystitis secondary to Cholelithiasis. She had laparoscopic cholecystectomy. The findings were: Giant gallbladder calculus measuring 8.2 cm by 7.5 cm in diameter. The second patient was a 62 year old woman who presented with right hypochonrial pain, on examination, Murphy’s and Moynyham modified Murphy’s were positive. Abdominal and pelvic scan showed multiple gallbladder calculi. She had laparoscopic cholecystectomy and findings were multiple calculi with one measuring 8 cm by 6 cm in widest diameters. Both patients’ follow-up in outpatient clinic were uneventful. Conclusion Giant gall stone is a rare condition. It is not an absolute indication for open cholecystectomy. Laparoscopy can be a very useful method of treatment in experienced hands. |
| اللغة: | English |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a22e673a2d0b8a9240e5cbbaa1aa710aTest http://europepmc.org/articles/PMC7025086Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a22e673a2d0b8a9240e5cbbaa1aa710a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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