Figure 1
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Very few cases of a giant gall stone (>50mm) are reported worldwide. Author reported a case of a gall stone measuring 80x44x41mm in a 64 years old female who underwent open cholecystectomy at our institution. Gall stones measuring more than 30mm are associated with a higher risk of developing gall bladder carcinoma and any patient who is harbouring...
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Background and aim
Even though laparoscopic cholecystectomy LC became the gold standard for the treatment of gallstones, bile duct injuries, (BDI), are still more frequent than that recorded in the open cholecystectomy OC era. The aim of the study is to describe the experience with this modified technique through a retrospective case series.
Mater...
Objective: To determine the accuracy of ultrasound in predicting difficult laproscopic cholecystectomy,keeping preoperative findings as gold standard.
Methodology: A cross sectional study was conducted from July 2018 to January 2019 at Pakistan Institute of Medical Sciences Islamabad. Adult patients wih cholelithiasis were included in the study by...
Multimodality approach CT Spontaneous resolutions Conservative management a b s t r a c t Gallstone ileus (GI) is a rare cause of acute abdomen in an emergency setting and a rare complication of cholelithiasis in the elderly, with a female prevalence. Radiologists play a key role in the diagnosis and management of this condition and, with a multimo...
Gallstone ileus, a rare complication of cholelithiasis, is caused by an impaction of gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. Here in, we describe a case of gallstone ileus in a 62-year-old woman successfully treated with enterolithotomy. The patient was discharged home after an uneventful post-oper...
Background: Gallstone ileus is described by a mechanical intestinal block that is very misleading to analyze. Gallstone ileus is an uncommon sickness and records for 1-4% of all instances of mechanical intestinal deterrent. It as a rule happens in the old with a female prevalence and may bring about a high death rate. Gallstone ileus has shown a co...
Citations
... As our best knowledge the giant gallstone in a young age is the first reported case series. Overall only 5 cases of giant gallstones are reported in Chile, Turkey, China, UK and India [3,4,5,6,7,8]. ...
... The gold standard treatment for gallstone is LC [10]. The difficulty in LC for giant gallstone are distorted calot's [11], difficulty in holding the stone and unable to retrieve the stone through conventional epigastric port [5]. In all our cases we removed all these giant stones just by increasing the skin incision at the epigastric port. ...
The gold standard treatment of gall stones is laparoscopic cholecystectomy, but in case of giant gall stone (when size is more than 5 cm), its removal by laparoscope is slightly difficult. The occurrence of giant gall stones in young patient is extremely rare. The common reason for this giant gall stone is usually because of its asymptomatic nature. We are presenting three cases of giant gall stones of size 55 × 50 × 45 mm, 58 × 56 × 45 mm and 50 × 56 × 40 mm in 12 years old male, 18 years old female and 14 years old female respectively. To the best of our knowledge only few cases of such giant gall stones are reported. Open cholecystectomy may be required sometimes to remove such giant gallstone. The slight increase in skin incision at epigastric port at the time of specimen removal is a wise decision to remove the giant gall stone laparoscopically.
Giant gallstones are rare occurrences and measure 5 cm in any one dimension. They present unique set of features and complications. Due to their rarity, we conducted this systematic review to investigate the profile of patients with giant gallstones applying seven variables. For this study, we used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After an initial search of 111 peer reviewed articles from reliable sources, we included 29 articles for this study enrolling 30 patients with mean age of 66.7 years. Majority (97%) were symptomatic, reporting with cholecysto-enteric fistula/gallstone ileus (33%), acute cholecystitis (30%) and chronic dyspepsia (24%). The management options adopted included open cholecystectomy (48%), laparoscopic cholecystectomy (33%), endoscopic lithotripsy (6%) and conservative management (6%).
