Longest gallbladder: A case report

Yadav, Rahul; Kankaria, Jeevan

doi:10.1016/j.ijscr.2017.02.024

Cited by 9 publications

(14 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: 62%

“…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]. Table 1 shows the huge gallbladders reported in the literature in the order of published year till now.…”

Section: Discussionmentioning

confidence: 99%

“…According to the procedure method used, Tessier et al [10,13,[16][17][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%

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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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Section: Discussioncontrasting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cholecystomegaly: A Case Report and Review of the Literature

Jahantab

Salehi

Mehrabi

et al. 2020

Case Reports in Gastrointestinal Medicine

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“…Anticipating to this risk factors is essential for planning a safe surgical procedure and complete it successfully. 5,6 In this case report we describe a very rare entity of a mega gallbladder with cholecystitis associated, treated with laparoscopic cholecystectomy.…”

Section: Introductionmentioning

confidence: 94%

A mega gallbladder removed by laparoscopic cholecystectomy: a case report

Bastidas

Cuevas

2020

Int Surg J

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Report the case of a giant gallbladder secondary to chronic cholecystitis treated with laparoscopic cholecystectomy with no complications. The patient was a 79-year-old woman who attended the emergency department because of a long-standing abdominal pain in the right hypochondrium exacerbated in the last 2 months. Physical exam revealed fever and a sensible mass in the right flank, laboratory tests shown leucocytosis, a mild indirect hyperbilirubinemia and elevated alkaline phosphatase. Images revealed an importantly distended gallbladder with sludge, stones and hydrops associated. Antibiotic therapy was started. She ultimately underwent laparoscopic cholecystectomy. A pathological examination evidenced cholelithiasis, acute and chronic cholecystitis. Only a few cases of surgical treatment of mega gallbladders are found in the literature. It is important to recognize them in the preoperative period for an adequate surgical planning. A laparoscopic approach was successful in our case.

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