Gallbladder remnant

Case contributed by Dr Maulik S Patel

Presentation

Abdominal pain for the last few days. History of the previous laparoscopic cholecystectomy.

Patient Data

Age: 70 years
Gender: Female
Ultrasound

Gall bladder fossa shows a residual small sac with few calculi within. There is no local collection/ intrahepatic biliary radicles dilatation. The common bile duct was within normal caliber without any calculi.

Case Discussion

A female patient presented with abdominal pain with the previous history of the laparoscopic cholecystectomy for gallbladder calculi. Ultrasound shows a residual small sac in the gall bladder fossa. Two orthogonal plane images show the presence of small calculi in the sac.

Findings favor gallbladder remnant with calculi. It is an uncommon complication of the laparoscopic cholecystectomy. It occurs due to incomplete excision of the gall bladder when there is a surgical difficulty due to vascularized adhesion 1.

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