Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report.
| Autor: | Quiroz Guadarrama CD; Obesity Clinic and Bariatric Surgery, Dr. Manuel Gea González General Hospital, México 14080, Mexico., Saenz Romero LA; Obesity Clinic and Bariatric Surgery, Dr. Manuel Gea González General Hospital, México 14080, Mexico., Saucedo Moreno EM; Obesity Clinic and Bariatric Surgery, Dr. Manuel Gea González General Hospital, México 14080, Mexico. eric.saucedo.m@gmail.com., Rojano Rodríguez ME; Obesity Clinic and Bariatric Surgery, Dr. Manuel Gea González General Hospital, México 14080, Mexico. |
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| Jazyk: | angličtina |
| Zdroj: | World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2023 Oct 16; Vol. 15 (10), pp. 629-633. |
| DOI: | 10.4253/wjge.v15.i10.629 |
| Abstrakt: | Background: Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure used in the treatment of obesity, with a complication rate of less than 2% of cases. There have been only two reported cases worldwide of gallbladder injuries as a major complication of ESG. Case Summary: We present the case of a 34-year-old patient who developed a complication after ESG. The patient experienced epigastric and right hypochondrium pain 12 h after the procedure, and a positive Murphy's sign was identified on physical examination. Laboratory results showed a leukocyte count of 17 × 10 3 /µL, and computed tomography indicated the presence of free fluid in the pelvic cavity and perihepatic recesses as well as a possible suture in the wall of the Hartmann's pouch toward the anterior surface of the stomach. A diagnostic laparoscopy was performed, revealing plication of the Hartmann's pouch wall to the anterior stomach wall. Laparoscopic cholecystectomy and lavage were carried out. The patient had a stable recovery and was discharged 72 h after surgery, tolerating oral intake. Conclusion: Gallbladder plication should be suspected if signs and symptoms consistent with acute cholecystitis occur after ESG. Competing Interests: Conflict-of-interest statement: All the authors declare having no conflicts of interest. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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