Retained gallstones: an elusive complication of laparoscopic cholecystectomy
A young, healthy woman presented to the emergency department multiple times with right upper quadrant pain and subjective fevers for over a year after her laparoscopic cholecystectomy. The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained g...
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Veröffentlicht in: | BMJ case reports 2020-12, Vol.13 (12), p.e238456 |
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creator | Jung, JooYeon Basrai, Zahir Celedon, Manuel Grock, Andrew |
description | A young, healthy woman presented to the emergency department multiple times with right upper quadrant pain and subjective fevers for over a year after her laparoscopic cholecystectomy. The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained gallstones in her abdomen. After surgical removal of the stones, her symptoms resolved completely. The case highlights the challenges in diagnosing retained gallstones, the substantial burdens they can impose on patients, and the importance of prevention and thorough documentation. |
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The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained gallstones in her abdomen. After surgical removal of the stones, her symptoms resolved completely. The case highlights the challenges in diagnosing retained gallstones, the substantial burdens they can impose on patients, and the importance of prevention and thorough documentation.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-238456</identifier><identifier>PMID: 33318258</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Abdomen ; Abdomen - pathology ; Abdominal Abscess - etiology ; Abscesses ; Adult ; Bile ; Blood ; Case Report ; Case reports ; Cholecystectomy ; Cholecystectomy, Laparoscopic - adverse effects ; emergency medicine ; Female ; Gallbladder ; Gallbladder diseases ; Gallstones ; Gallstones - diagnostic imaging ; Gallstones - surgery ; general surgery ; Humans ; Infections ; Laboratories ; Laparoscopy ; Liver ; Magnetic Resonance Imaging ; Morbidity ; Pain ; pancreas and biliary tract ; Peritonitis ; Phosphatase ; radiology ; Serology ; Surgery ; Tomography, X-Ray Computed ; Treatment Failure ; Weight control</subject><ispartof>BMJ case reports, 2020-12, Vol.13 (12), p.e238456</ispartof><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b446t-24979cae2e431dfb0b13eed7457ad0191c67aafd722b0d95935675cacbb8f273</cites><orcidid>0000-0003-4284-0721</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737025/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737025/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33318258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, JooYeon</creatorcontrib><creatorcontrib>Basrai, Zahir</creatorcontrib><creatorcontrib>Celedon, Manuel</creatorcontrib><creatorcontrib>Grock, Andrew</creatorcontrib><title>Retained gallstones: an elusive complication of laparoscopic cholecystectomy</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>A young, healthy woman presented to the emergency department multiple times with right upper quadrant pain and subjective fevers for over a year after her laparoscopic cholecystectomy. The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained gallstones in her abdomen. After surgical removal of the stones, her symptoms resolved completely. The case highlights the challenges in diagnosing retained gallstones, the substantial burdens they can impose on patients, and the importance of prevention and thorough documentation.</description><subject>Abdomen</subject><subject>Abdomen - pathology</subject><subject>Abdominal Abscess - etiology</subject><subject>Abscesses</subject><subject>Adult</subject><subject>Bile</subject><subject>Blood</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>emergency medicine</subject><subject>Female</subject><subject>Gallbladder</subject><subject>Gallbladder diseases</subject><subject>Gallstones</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>general surgery</subject><subject>Humans</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Laparoscopy</subject><subject>Liver</subject><subject>Magnetic Resonance Imaging</subject><subject>Morbidity</subject><subject>Pain</subject><subject>pancreas and biliary tract</subject><subject>Peritonitis</subject><subject>Phosphatase</subject><subject>radiology</subject><subject>Serology</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Failure</subject><subject>Weight control</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc9L5DAUx4Os7Ih63psU9rKsVPOzafcgLIO_YEAQD95Ckr5qhrTpNu3A_PdGRsfZhQXfJYH3yZf38kHoG8FnhLDi3Nghp5jinLKSi2IPHRApZC4r_Phl5z5DxzEucSpGeMnZVzRjjJGSivIALe5h1K6DOnvS3scxdBB_ZbrLwE_RrSCzoe29s3p0octCk3nd6yFEG3pnM_scPNh1HMGOoV0fof1G-wjHb-cheri6fJjf5Iu769v570VuOC_GnPJKVlYDBc5I3RhsCAOoJRdS15hUxBZS66aWlBpcV6JiopDCamtM2VDJDtHFJrafTAu1hW4ctFf94Fo9rFXQTv3d6dyzegorJSWTmIoU8OMtYAh_Joijal204L3uIExRUZ6wEgvBEvr9H3QZpqFL2yWqqIoqFU_U-Yay6WviAM12GILVqyuVXKlXV2rjKr042d1hy7-bScDPDWDa5SfSTj_g7YD_o18AsvCrxg</recordid><startdate>20201213</startdate><enddate>20201213</enddate><creator>Jung, JooYeon</creator><creator>Basrai, Zahir</creator><creator>Celedon, Manuel</creator><creator>Grock, Andrew</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4284-0721</orcidid></search><sort><creationdate>20201213</creationdate><title>Retained gallstones: an elusive complication of laparoscopic cholecystectomy</title><author>Jung, JooYeon ; Basrai, Zahir ; Celedon, Manuel ; Grock, Andrew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b446t-24979cae2e431dfb0b13eed7457ad0191c67aafd722b0d95935675cacbb8f273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Abdomen - pathology</topic><topic>Abdominal Abscess - etiology</topic><topic>Abscesses</topic><topic>Adult</topic><topic>Bile</topic><topic>Blood</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>emergency medicine</topic><topic>Female</topic><topic>Gallbladder</topic><topic>Gallbladder diseases</topic><topic>Gallstones</topic><topic>Gallstones - diagnostic imaging</topic><topic>Gallstones - surgery</topic><topic>general surgery</topic><topic>Humans</topic><topic>Infections</topic><topic>Laboratories</topic><topic>Laparoscopy</topic><topic>Liver</topic><topic>Magnetic Resonance Imaging</topic><topic>Morbidity</topic><topic>Pain</topic><topic>pancreas and biliary tract</topic><topic>Peritonitis</topic><topic>Phosphatase</topic><topic>radiology</topic><topic>Serology</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Failure</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, JooYeon</creatorcontrib><creatorcontrib>Basrai, Zahir</creatorcontrib><creatorcontrib>Celedon, Manuel</creatorcontrib><creatorcontrib>Grock, Andrew</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, JooYeon</au><au>Basrai, Zahir</au><au>Celedon, Manuel</au><au>Grock, Andrew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retained gallstones: an elusive complication of laparoscopic cholecystectomy</atitle><jtitle>BMJ case reports</jtitle><stitle>BMJ Case Rep</stitle><addtitle>BMJ Case Rep</addtitle><date>2020-12-13</date><risdate>2020</risdate><volume>13</volume><issue>12</issue><spage>e238456</spage><pages>e238456-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>A young, healthy woman presented to the emergency department multiple times with right upper quadrant pain and subjective fevers for over a year after her laparoscopic cholecystectomy. The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained gallstones in her abdomen. After surgical removal of the stones, her symptoms resolved completely. The case highlights the challenges in diagnosing retained gallstones, the substantial burdens they can impose on patients, and the importance of prevention and thorough documentation.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>33318258</pmid><doi>10.1136/bcr-2020-238456</doi><orcidid>https://orcid.org/0000-0003-4284-0721</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Abdomen - pathology Abdominal Abscess - etiology Abscesses Adult Bile Blood Case Report Case reports Cholecystectomy Cholecystectomy, Laparoscopic - adverse effects emergency medicine Female Gallbladder Gallbladder diseases Gallstones Gallstones - diagnostic imaging Gallstones - surgery general surgery Humans Infections Laboratories Laparoscopy Liver Magnetic Resonance Imaging Morbidity Pain pancreas and biliary tract Peritonitis Phosphatase radiology Serology Surgery Tomography, X-Ray Computed Treatment Failure Weight control |
title | Retained gallstones: an elusive complication of laparoscopic cholecystectomy |
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