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A phantom gallbladder on endoscopic retrograde cholangiopancreatography
Authors:Xing Jinhong  Rochester Jeremy  Messer Caroline K  Reiter Bruce P  Korsten Mark A
Affiliation:Gastroenterology and Radiology Programs, James J. Peters VA Medical Center, Bronx, NY 10468,Montefiore Medical Center, Bronx, NY, Mount Sinai School of Medicine, New York, NY and Albert Einstein College of Medicine, Bronx, New York 10468, United States
Abstract:
Various complications have been related to laparoscopic cholecystectomy but most occur shortly after the procedure.In this report,we present a case with very late complications in which an abscess developed within the gallbladder fossa 6 years after laparoscopic cholecystectomy.The abscess resolved after treatment with CT-guided extrahepatic aspiration.However,4 years later,an endoscopic retrograde cholangiopancreatography (ERCP) performed for choledocholithiasis demonstrated a"gallbladder"which communicated with the common bile duct via a patent cystic duct.This unique case indicates that a cystic duct stump may communicate with the gallbladder fossa many years following cholecystectomy.
Keywords:Laparoscopic cholecystectomy  Complication  Abscess  Gallbladder  Endoscopic retrograde cholangiopancreatography
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