Over Three Hundred Gallstones Removed Through Difficult Cholecystectomy - A Case Report.

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-07-01 DOI:10.21614/chirurgia.3150
Ognen Kostovski, Irena Kostovska
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引用次数: 0

Abstract

Background: Cholelithiasis is a common gastrointestinal condition that significantly burdens healthcare systems worldwide. The primary cause of gallstone production is cholesterol hypersaturation. Age and female sex are considered more potent risk factors than other factors, but recent studies presented strong associations between cholesterol gallstones and obesity. Case report: We present a case of a 49-year-old male patient with acute onset intensive abdominal pain in the right upper quadrant. Physical examination, abdominal ultrasound, and laboratory analyses confirmed the diagnosis of acute cholecystitis. The cholecystectomy was done and was found a thickened gall bladder wall with gangrenous mucosa and over 300 gallstones sizes ranging from 2 mm to 5 mm inside it. Conclusions: Clinical examination of the patient, laboratory analyses, and abdominal ultrasound diagnoses are gold-standard diagnostic tools. The mainstay of treatment of symptomatic and asymptotic gallstone diseases is surgery, cholecystectomy.

胆囊切除术取出300多块胆结石1例。
背景:胆石症是一种常见的胃肠道疾病,给全球医疗保健系统带来了巨大的负担。胆结石产生的主要原因是胆固醇过饱和。年龄和女性性别被认为是比其他因素更重要的危险因素,但最近的研究表明,胆固醇胆结石和肥胖之间存在很强的联系。病例报告:我们提出一个病例49岁的男性患者急性发作剧烈腹痛在右上象限。体格检查、腹部超声和实验室分析证实了急性胆囊炎的诊断。行胆囊切除术,发现胆囊壁增厚,粘膜坏疽,胆囊壁内有300多颗大小为2mm至5mm的胆结石。结论:患者的临床检查、实验室分析和腹部超声诊断是金标准的诊断工具。治疗有症状和无症状的胆结石疾病的主要方法是手术、胆囊切除术。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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