Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 6 Issue 7

Giant Gallbladder: First Case Reported in Venezuela and Literature Review

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

2Department of Surgery, Faculty of Medicine, School 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

References

  1. Jahantab MB., et al. “Cholecystomegaly: A Case Report and Review of the Literature”. Case Reports in Gastrointestinal Medicine8825167 (2020).
  2. Esquivel BP., et al. “Vesícula biliar gigante”. Revista Argentina de Cirugía4 (2018): 218-219.
  3. Kuznetsov AV., et al. “Giant gallbladder: A case report and review of literature”. International Journal of Surgery Case Reports10 (2014): 673-676.
  4. Elkbuli A., et al. “Huge gangrenous gallbladder presenting as gastro-esophageal refluxdisease successfully treated by laparoscopic cholecystectomy: Case report and literature review”. International Journal of Surgery Case Reports 76 (2020): 315-319.
  5. Uemura S., et al. “Gastrointestinal: Giant Gallbladder”. Journal of Gastroenterology and Hepatology (2022).
  6. Rosas G and Chamorro AE. “Colecistitis Crónica Alitiásica y Piocolecisto en Paciente con Diebetes Mellitus Tipo 2”. Saludy Administración20 (2020): 61-67.
  7. Brunicardi FC., et al. “Schwartz Principios de Cirugía”. 11th Ciudad de México: McGraw-Hill Education (2020).
  8. Tischer B., et al. “Vesícula biliar gigante: relato de caso”. Revista da AMRIGS1 (2019): 75-77.
  9. Grosberg S. “Giant Gallbladder”. American Journal of Digestive Diseases11 (1962): 1039-1040.
  10. Tessier DJ., et al. “Cholecystomegaly: laparoscopic treatment”. Journal of Minimal Access Surgery2 (2005): 82-83.
  11. Panaro F., et al. “Hepatobiliary and Pancreatic: Giant gallbladder associated with Byler’s disease”. Journal of Gastroenterology and Hepatology 27 (2012): 620.
  12. Yadav R and Kankaria J. “Longest gallbladder: A case report”. International Journal of Surgery Case Reports 33 (2017): 127-129.
  13. Bahra M., et al. “Giant Gallbladder Empyema in Mirizzi Syndrome”. Deutsches Ärzteblatt International 116 (2019): 300.
  14. Zong L., et al. “A case of congenital giant gallbladder with massive hydrops mimicking celiac cyst”. Oncology Letters 5 (2013): 226-228.
  15. Fultang J., et al. “Giant Gallbladder Presenting as a Right Iliac Fossa Mass Removed by Minilaparoscopic Cholecystectomy”. Cureus9 (2019).
  16. Bastidas A and Cuevas L. “A mega gallbladder removed by laparoscopic cholecystectomy: a case report”. International Surgery Journal11 (2020): 3795-3797.
  17. Mirali H., et al. “Giant Gallbladder Revealed by Chronic Cholecystitis Gallstone: A Case Report and Review of the Literature”. Cureus3 (2021).

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.




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