Alsinan Fatima M, Alaqoul Ali I
Department of General Surgery, Dammam Medical Complex, Dammam, Saudi Arabia.
Acta Inform Med. 2025;33(1):79-81. doi: 10.5455/aim.2024.33.79-81.
Subtotal cholecystectomy (SC) is considered a safe option for a bailout in the presence of a difficult laparoscopic cholecystectomy with a low incidence of complications.
This report aims to describe the challenges in diagnosing and managing remnant gallbladder.
Case 1 is a 31-year-old male who presented with right upper quadrant abdominal pain ten years following SC. Abdominal ultrasound (US) and computed tomography (CT) scan confirmed a ruminant gallbladder. He underwent successful completion of laparoscopic cholecystectomy. Case 2 is a 40-year-old male who was admitted as a case of ascending cholangitis. He had a history of subtotal cholecystectomy one year prior to his presentation. CT scan, Magnetic resonance cholangiography (MRCP), and US all confirmed the presence of a remnant gallbladder. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP), followed by the completion of laparoscopic cholecystectomy.
Recurring symptoms due to the remnant gallbladder are often challenging to diagnose and treat. Herein, we highlight the importance of adequate preoperative investigations and surgical planning prior to intervention.
在困难的腹腔镜胆囊切除术情况下，胆囊次全切除术（SC）被认为是一种安全的补救选择，并发症发生率较低。
本报告旨在描述诊断和处理残余胆囊的挑战。
病例1是一名31岁男性，在胆囊次全切除术后10年出现右上腹疼痛。腹部超声（US）和计算机断层扫描（CT）证实为残余胆囊。他成功接受了腹腔镜胆囊切除术。病例2是一名40岁男性，因急性胆管炎入院。他在就诊前一年有胆囊次全切除术史。CT扫描、磁共振胆胰管造影（MRCP）和超声均证实存在残余胆囊。患者接受了内镜逆行胰胆管造影（ERCP），随后完成了腹腔镜胆囊切除术。
残余胆囊引起的复发性症状通常在诊断和治疗上具有挑战性。在此，我们强调在干预前进行充分的术前检查和手术规划的重要性。
