Mateja Heather L, Rowe Danielle A, Tsai Allen, Giuseppucci Pablo
General Surgery, American University of Antigua, Osbourn, ATG.
General Surgery, Western Reserve Health Education/Northeast Ohio Medical University (NEOMED), Warren, USA.
Cureus. 2024 Oct 17;16(10):e71719. doi: 10.7759/cureus.71719. eCollection 2024 Oct.
Remnant cholecystitis is a rare complication following subtotal cholecystectomy (STC), particularly when the reconstituting technique is used, which leaves a portion of the gallbladder behind. This remnant can become inflamed due to recurrent or retained gallstones. We present the case of a 39-year-old female who required a completion cholecystectomy 11 years after her initial STC due to severe recurrent right upper quadrant (RUQ) pain, nausea, and vomiting with an ultrasound that revealed cholelithiasis. This case highlights the need for increased awareness of remnant cholecystitis, better diagnostic approaches, and standardized management guidelines to prevent long-term complications. Further research is necessary to improve the treatment of this rare condition and optimize patient outcomes.
残余胆囊炎是胆囊次全切除术（STC）后的一种罕见并发症，尤其是在采用重建技术时，该技术会残留一部分胆囊。由于复发性或残留胆结石，这个残余部分可能会发炎。我们报告一例39岁女性病例，她在初次STC术后11年因严重复发性右上腹（RUQ）疼痛、恶心和呕吐而需要行胆囊全切术，超声检查显示有胆石症。该病例强调了提高对残余胆囊炎的认识、采用更好的诊断方法以及制定标准化管理指南以预防长期并发症的必要性。有必要进行进一步研究以改善这种罕见疾病的治疗并优化患者预后。
