Postcholecystectomy syndrome: a case report
Keywords:Postcholecystectomy syndrome, Cholecystectomy, Gall bladder, Gall stone disease
The term postcholecystectomy syndrome (PCS) refers to varied signs and symptoms attributed to patients on cholecystectomy for the surgical management of symptomatic gallstone disease. This complication occurs as a result of a pathological condition of the gallbladder or attribution of several symptoms. PCS affects about 10-15% of the patients. The management and treatment of PCS associated symptoms are depending on the specific diagnosis and may include pharmacological or surgical management. In the present case, a 74-year-old man undergone for laparoscopic cholecystectomy admitted with complaints of loose stools for several times with other complications (anaemia, leucocytosis, neutrophilia, and also reported known case of trigeminal neuralgia). The present case report added insight information on PCS and its therapeutic management.
Arora D, Kaushik R, Kaur R, Sachdev A. Post-cholecystectomy syndrome: A new look at an old problem. J Minim Access Surg. 2018;14(3):202-7.
Quaresima S, Balla A, Guerrieri M, Lezoche G, Campagnacci R, D'Ambrosio G, et al. Results of Medium Seventeen Years' Follow-Up after Laparoscopic Choledochotomy for Ductal Stones. Gastroenterol Res Pract. 2016;9506406.
Borz-Baba C, Levy DA, Cohen ME. Post-Cholecystectomy Mirizzi Syndrome: A Case Report and Review of the Literature. Am J Case Rep. 2019;20:1290-8.
Shirah BH, Shirah HA, Zafar SH, Albeladi KB. Clinical patterns of postcholecystectomy syndrome. Ann Hepatobiliary Pancreat Surg. 2018;22(1):52-7.
Filip M, Saftoiu A, Popescu C, Gheonea DI, Iordache S, Sandulescu L, et al. Postcholecystectomy syndrome - an algorithmic approach. J Gastrointestin Liver Dis. 2009;18(1):67-71.
Moore T, Amin M. Post-Cholecystectomy Syndrome. Clin Pract Cases Emerg Med. 2017;1(4):446-7.
Yueh TP, Chen FY, Lin TE, Chuang MT. Diarrhea after laparoscopic cholecystectomy: associated factors and predictors. Asian J Surg. 2014;37(4):171-7.
Ahmad NZ. Routine testing of liver function before and after elective laparoscopic cholecystectomy: is it necessary? JSLS. 2011;15(1):65-9.
Khalid S, Zaheer S, Zaheer S, Alam MS, Khalid M. Hemolytic anemia in a female patient presenting for routine cholecystectomy. N Am J Med Sci. 2013;5(1):75-6.
Kang Z, Lu M, Jiang M, Zhou D, Huang H. Proteobacteria Acts as a Pathogenic Risk-Factor for Chronic Abdominal Pain and Diarrhea in Post-Cholecystectomy Syndrome Patients: A Gut Microbiome Metabolomics Study. Med Sci Monit. 2019;25:7312-20.
Janes S, Berry L, Dijkstra B. Management of post cholecystectomy Mirizzi's syndrome. J Minim Access Surg. 2005;1(1):34-6.
Nagorni EA, Kouklakis G, Tsaroucha A, Foutzitzi S, Courcoutsakis N, Romanidis K, et al. Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature. J Med Case Rep. 2016;10:135.