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Stump Cholecystitis

A

B
Figs 4A and B: Remnant calculi (A) omental adhesions over stump cholecystitis and (B) CBD stone

CONCLUSION study of 40 cases. Asian J Endosc Surg 2013 May;6(2):
96-99.
We would like to highlight the importance of thorough 2. Rozsos I, Magyarodi Z, Orban P. Cystic Duct Syndrome and
identification of the calot’s triangle with the neck of minimally invasive surgery. Orv Hetil 1 1997 Sep 21;138(38):
2397-2401.
gall bladder cystic duct and not to cross rouviere’s 3. Shaw C, O’Hanlon DM, Fenlon HM, McEntee GP. Cystic
sulcus. Patients with persisting symptoms should be duct remnant and the post-cholecystectomy syndrome.
evaluated and reintervention should be considered. Hepatogastroenterology 2004 Jan-Feb;51(55):36-38.
For reintervention, the laparoscopic mode is the most 4. Rogy MA, Fugger R, Herbst F, Schulz F. Reoperation after
accurate one as the field of minimal access surgery is cholecystectomy: the role of the cystic duct stump. HPB Surg
1991 Jun;4(2):129-134.
advancing. We would like to emphasise the importance 5. Walsh RM, Ponsky JL, Dumot J. Retained gall bladder/cystic
of proper dissection and identification of gallbladder- duct remnant calculi as a cause of post cholecystectomy pain.
cystic duct junction to completely remove the GB and Surg Endosc 2002 Jun;16(6):981-984.
prevent recurrent symptoms. Cystic duct stump calculi 6. Chowbey PK, Bandyopadhyay SK, Sharma A, Khullar R,
diagnosed on ultrasound as a cause of these symptoms Soni V, Baijal M. Laparoscopic reintervention for residual
gallstone disease. Surg Laparosc Endosc Percutan Tech 2003
may actually be in the remnant gallbladder, and requires Feb;13(1):31-35.
re-operation for stump cholecystitis. 8 7. Clemente G, Giuliante F, Cadeddu F, Nuzzo G. Laparoscopic
removal of gall bladder remnant and long cystic stump.
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