Arianny Estefanía Santiago Santiago¹*, Maria Teresa González Hernández¹, Eduard Enrike Pérez Hernández¹, María Claudia Bracho Arellano¹ and Alfredo José Ramírez²

¹Faculty of Medicine, University of the Andes, Mérida, Mérida, Venezuela

*Corresponding Author: Arianny Estefanía Santiago Santiago, Faculty of Medicine, University of the Andes, Mérida, Mérida, Venezuela.

Received: April 17, 2023; Published: May 07, 2023

Abstract

Introduction: First reported case of giant gallbladder in Venezuela treated with exploratory laparotomy and cholecystectomy.

Case Presentation: A 61-year-old male patient admitted due to increased abdominal circumference, associated with cramping abdominal pain in the mesogastrium region and radiated to both flanks, of moderate intensity. Abdominal ultrasound showed a tumor involving the lower lobe and middle hepatic part but did not show conclusive results of the gallbladder. Subsequently, a tomographic study was carried out where a lesion with dimensions of 20.7 x 20.3 x 23.4 cm and a volume of 5,231cc was observed. Emergency exploratory laparotomy was performed with operative finding of a giant vesicle. We proceeded to perform a puncture to drain its contents, obtaining approximately 8000cc of purulent, thick and non-fetid liquid, also performed a cholecystectomy, obtaining a surgical piece of approximately 30 x 25 cm.

Discussion: Giant gallbladders are very rare, there are few cases reported in the world. The pathogenesis is unknown but it has been hypothesized that it may occur due to a progressive increase in intraluminal pressure due to a check valve. It usually occurs in the female sex; in this case, it is a male patient. The important findings found were the thickening of the gallbladder wall, presence of generalized lympho-plasmacyte and polymorphonuclear neutrophil inflammatory infiltrate and purulent fluid.

Conclusion: There are few surgical treatments for giant gallbladders, in our case, the patient underwent cholecystectomy and his postoperative recovery underwent without complications.

 Keywords: Gallbladder; Giant; Cholelithiasis; Cholecystectomy

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Citation

Citation: Arianny Estefanía Santiago Santiago., et al. “Splenic Artery Aneurysm. A Rare Entity Case Report". Acta Scientific Gastrointestinal Disorders 6.7 (2023): 02-07.

Copyright

Copyright: © 2023 Arianny Estefanía Santiago Santiago., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.