A mass more ordinary

Edlin, Joy; Alfa-Wali, Maryam; Bond, Amanda

doi:10.1136/bcr-2015-209409

Cited by 1 publication

(4 citation statements)

References 3 publications

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“…According to the size, in Panaro's case report, the largest gallbladder even seen in the world till now was about 43 cm. However, the gallbladder size in our case was about 22 cm, and it was smaller than five previous reported studies [12][13][14][15][16][17][18]; it is large enough to be presented as a case report, as there are no defined borders proposed to distinguish between simply enlarged and giant gallbladders [15].…”

Section: Discussioncontrasting

confidence: 61%

“…Kuznetsov et al [15] reported the only huge gallbladder found in the literature without any evidence of acquired, congenital, and obstructive cause for the enlargement of the gallbladder. Edlin et al [16] presented a patient with chronic cholecystitis who underwent cholecystostomy and then laparoscopic cholecystectomy. Kankaria et al operated a huge gallbladder mucocele, belonged to Suman from Jaipur, India, through a laparoscopic approach, and the Guinness Book of World Records accepted it for the longest gallbladder in the world till now [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…According to the procedure method used, Tessier et al [ 10 , 13 , 16 – 18 ] performed laparoscopic cholecystectomy. In our study, classic open cholecystectomy was preferred as like as some other studies [ 6 , 9 , 11 , 12 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…When obstructed, the gallbladder can distend markedly and contain up to 300 mL of fluid [1,4,5]. We report a case with a huge and severely inflamed gallbladder, as we have just found only a few earlier case reports with a huge gallbladder in the literature [6][7][8][9][10][11][12][13][14][15][16][17][18]. is case report and review may help to find the mechanism for the development of a giant gallbladder or cholecystomegaly.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cholecystomegaly: A Case Report and Review of the Literature

Jahantab

Salehi

Mehrabi

et al. 2020

Case Reports in Gastrointestinal Medicine

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Chronic cholecystitis or symptomatic gallbladder is a prolonged mechanical or functional disorder of abnormal gallbladder emptying. Most of the patients have recurrent pain attacks (acute biliary colic), but when pain lasts more than 24 hours, it requires urgent surgical intervention (acute cholecystitis). The length of a fully distended gallbladder is about 7 to 10 cm. We report a case of a huge and severely inflamed gallbladder, as we have just found only a few previous case reports of the huge gallbladder in the literature. This case report and review may help to find a mechanism for the development of a giant gallbladder. The patient was a 36-year-old woman, who had been known to have a symptomatic gallstone for at least three years. The patient underwent laparotomy, and a giant 22 cm roundish severely inflamed and overdistended gallbladder with wall thickening and tight adhesion to adjacent organs was found under the right liver lobe. Femininity and diabetes seem to be risk factors for developing a huge gallbladder, and several hypotheses are encountered: (1) a long-lasting obstructed cystic duct or biliary tree, and accumulation of mucosal secretion from the gallbladder epithelium, (2) an obstructed hepatic/cystic duct junction with a stone acting like a check valve and bile trapping mechanism, and (3) gallbladder dysfunction and cholecystoparesis affecting through reduced cholecystokinin and celiac parasympathetic nerve disturbance in diabetes and diabetic autonomic neuropathy. Open cholecystectomy is the technique of choice in surgical excision of a huge gallbladder; however, laparoscopy could be performed by expert hands.

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