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Case Reports
. 2020:67:207-210.
doi: 10.1016/j.ijscr.2020.01.055. Epub 2020 Feb 6.

Laparoscopic cholecystectomy for giant gall stone: Report of two cases

P O Igwe  1 , O N Diri  2
Affiliations
Case Reports

Laparoscopic cholecystectomy for giant gall stone: Report of two cases

P O Igwe et al. Int J Surg Case Rep. 2020.

Abstract

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.

Keywords: Giant gall stone; Laparoscopic cholecystectomy.

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Figures

Fig. 1
Fig. 1
Post-operative day 3 of widened epigastric port.
Fig. 2
Fig. 2
Giant gallstone.
Fig. 3
Fig. 3
Healed laparoscopic scar on 7th day post-operative.
Fig. 4
Fig. 4
Gall bladder retrieval from the Supra-umbilical port.
Fig. 5
Fig. 5
Gallbladder retrieval from the Supra-umbilical port.
Fig. 6
Fig. 6
Gallbladder with multiple calculi and the Giant gall stone.
Fig. 7
Fig. 7
Widened Supra-umbilical port at post-operative day three.
See this image and copyright information in PMC

References

    1. Lammert F., Sauerbruch T. Mechanisms of disease: the genetic epidemiology of gallbladder stones. Nat. Clin. Pract. Gastroenterol. Hepatol. 2005;2(September (9)):423–433. [PubMed] [Google Scholar] - PubMed
    1. Berthou J.C., Dron B., Charbonneau P., Moussalier K., Pellissier L. Evaluation of laparoscopic treatment of common bile duct stones in a prospective series of 505 patients: indications and results. Surg. Endosc. 2007;21(November (11)):1970–1974. [PubMed] [Google Scholar] - PubMed
    1. Jorgensen T. Gall stones in a Danish population. Relation to weight, physical activity, smoking, coffee consumption and diabetes mellitus. Gut. 1989;30:528–534. - PMC - PubMed
    1. Dalal S., Pankaj S.B., Kumar R. Sujata Giant Gallstone: a rare indication of open cholecystectomy. J. Case Rep. 2014
    1. Lichtman S.S. 3rd ed. Lea and Febiger; Philadelphia: 1953. Diseases of the Liver, Gall Bladder and Bile Duct; p. 1198.

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