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Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report
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 t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600689/ https://www.ncbi.nlm.nih.gov/pubmed/37900114 http://dx.doi.org/10.4253/wjge.v15.i10.629 |
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author | Quiroz Guadarrama, Cesar D Saenz Romero, Luis Andres Saucedo Moreno, Eric Misael Rojano Rodríguez, Martín E |
author_facet | Quiroz Guadarrama, Cesar D Saenz Romero, Luis Andres Saucedo Moreno, Eric Misael Rojano Rodríguez, Martín E |
author_sort | Quiroz Guadarrama, Cesar D |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10600689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-106006892023-10-27 Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report Quiroz Guadarrama, Cesar D Saenz Romero, Luis Andres Saucedo Moreno, Eric Misael Rojano Rodríguez, Martín E World J Gastrointest Endosc Case Report 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. Baishideng Publishing Group Inc 2023-10-16 2023-10-16 /pmc/articles/PMC10600689/ /pubmed/37900114 http://dx.doi.org/10.4253/wjge.v15.i10.629 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Quiroz Guadarrama, Cesar D Saenz Romero, Luis Andres Saucedo Moreno, Eric Misael Rojano Rodríguez, Martín E Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title | Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title_full | Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title_fullStr | Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title_full_unstemmed | Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title_short | Gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: A case report |
title_sort | gallbladder plication as a rare complication of endoscopic sleeve gastroplasty: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600689/ https://www.ncbi.nlm.nih.gov/pubmed/37900114 http://dx.doi.org/10.4253/wjge.v15.i10.629 |
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