How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports
Abstract Background Subtotal cholecystectomy in patients with severe acute cholecystitis is considered a “bailout” option when the safety of the bile duct cannot be guaranteed. However, subtotal cholecystectomy has a long-term risk of remnant cholecystitis. The appropriate management of remnant chol...
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Japan Surgical Society
2021-05-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01183-x |
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| author | Taisei Teshima Hidetoshi Nitta Chisho Mitsuura Yuta Shiraishi Kazuto Harada Kenji Shimizu Ryuichi Karashima Toshiro Masuda Katsutaka Matsumoto Tetsuya Okino Hiroshi Takamori |
| author_facet | Taisei Teshima Hidetoshi Nitta Chisho Mitsuura Yuta Shiraishi Kazuto Harada Kenji Shimizu Ryuichi Karashima Toshiro Masuda Katsutaka Matsumoto Tetsuya Okino Hiroshi Takamori |
| author_sort | Taisei Teshima |
| collection | DOAJ |
| description | Abstract Background Subtotal cholecystectomy in patients with severe acute cholecystitis is considered a “bailout” option when the safety of the bile duct cannot be guaranteed. However, subtotal cholecystectomy has a long-term risk of remnant cholecystitis. The appropriate management of remnant cholecystitis has not been fully elucidated. Case presentation Case 1 was a 66-year-old man who had undergone subtotal cholecystectomy 14 years prior to the development of remnant cholecystitis. We first performed endoscopic gallbladder drainage to minimize inflammation, and then proceeded with elective surgery. We performed a reconstituting procedure for the residual gallbladder due to significant adhesions between the cystic and common bile ducts. Case 2 was a 56-year-old man who had undergone subtotal cholecystectomy for abscess-forming perforated cholecystitis 2 years prior to the development of remnant cholecystitis. He underwent endoscopic drainage followed by complete remnant cholecystectomy 4 months later. Conclusion Endoscopic gallbladder drainage is a useful strategy to improve inflammation and reduce the risk of bile duct injury during remnant cholecystectomy. |
| format | Article |
| id | doaj-art-8ec8d13588ba48eea97c6d8e6a2f534e |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-8ec8d13588ba48eea97c6d8e6a2f534e2025-08-20T03:37:02ZengJapan Surgical SocietySurgical Case Reports2198-77932021-05-01711610.1186/s40792-021-01183-xHow to treat remnant cholecystitis after subtotal cholecystectomy: two case reportsTaisei Teshima0Hidetoshi Nitta1Chisho Mitsuura2Yuta Shiraishi3Kazuto Harada4Kenji Shimizu5Ryuichi Karashima6Toshiro Masuda7Katsutaka Matsumoto8Tetsuya Okino9Hiroshi Takamori10Department of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalDepartment of Surgery, Saiseikai Kumamoto HospitalAbstract Background Subtotal cholecystectomy in patients with severe acute cholecystitis is considered a “bailout” option when the safety of the bile duct cannot be guaranteed. However, subtotal cholecystectomy has a long-term risk of remnant cholecystitis. The appropriate management of remnant cholecystitis has not been fully elucidated. Case presentation Case 1 was a 66-year-old man who had undergone subtotal cholecystectomy 14 years prior to the development of remnant cholecystitis. We first performed endoscopic gallbladder drainage to minimize inflammation, and then proceeded with elective surgery. We performed a reconstituting procedure for the residual gallbladder due to significant adhesions between the cystic and common bile ducts. Case 2 was a 56-year-old man who had undergone subtotal cholecystectomy for abscess-forming perforated cholecystitis 2 years prior to the development of remnant cholecystitis. He underwent endoscopic drainage followed by complete remnant cholecystectomy 4 months later. Conclusion Endoscopic gallbladder drainage is a useful strategy to improve inflammation and reduce the risk of bile duct injury during remnant cholecystectomy.https://doi.org/10.1186/s40792-021-01183-xCase reportRemnant cholecystitisSubtotal cholecystectomyEndoscopic gallbladder drainage |
| spellingShingle | Taisei Teshima Hidetoshi Nitta Chisho Mitsuura Yuta Shiraishi Kazuto Harada Kenji Shimizu Ryuichi Karashima Toshiro Masuda Katsutaka Matsumoto Tetsuya Okino Hiroshi Takamori How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports Surgical Case Reports Case report Remnant cholecystitis Subtotal cholecystectomy Endoscopic gallbladder drainage |
| title | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
| title_full | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
| title_fullStr | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
| title_full_unstemmed | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
| title_short | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
| title_sort | how to treat remnant cholecystitis after subtotal cholecystectomy two case reports |
| topic | Case report Remnant cholecystitis Subtotal cholecystectomy Endoscopic gallbladder drainage |
| url | https://doi.org/10.1186/s40792-021-01183-x |
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