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Open Cholecystectomy

Abstract

Gallstone disease is one of the most common disorders affecting the digestive tract. Gallstones are solid masses formed by bile precipitates and form in the gallbladder or bile ducts. The prevalence of gallstones is related to many factors, including diet, age, gender, BMI, and ethnic background. Women are more likely to develop gallstones than are men, and first-degree relatives of patients with gallstones have an increased risk, possibly indicating a genetic predisposition. There are two main types of gallstones: cholesterol and pigment. Cholesterol stones account for 80% of all gallstones and are formed from supersaturation of bile with cholesterol. Pigment stones are typically formed in conditions of stasis. Most people with gallstones will remain symptom free; however, if a gallstone lodges in a duct and causes blockage, symptoms may develop such as right upper quadrant or epigastric pain, nausea, vomiting, bloating, and fever. Ultrasonography or CT scan are used to visualize the stones in the gallbladder, while magnetic resonance cholangiopancreatography or endoscopic retrograde cholangiopancreatography can better visualize stones within the bile ducts. Most people with asymptomatic gallstones do not require treatment; however, for symptomatic patients, surgical removal of the gallbladder is recommended. Here we present a 53-year-old male with a 1-year history of recurrent right upper quadrant pain that radiated to his back. Ultrasound revealed intraluminal gallbladder stones, and the patient underwent open cholecystectomy.

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