Giant gallstone in the gallbladder: case report of an uncommon surgical challenge

Ab Hamid Wani; Gurbir Singh; Shireen Mehak; Javid Iqbal

doi:10.18203/2320-6012.ijrms20243741

Authors

Ab Hamid Wani Department of General Surgery, Government Medical College, Jammu, Jammu and Kashmir, India
Gurbir Singh Department of General Surgery, SMVDIME Kakryal, Katra, Jammu and Kashmir, India
Shireen Mehak Department of General Surgery, Government Medical College, Jammu, Jammu and Kashmir, India
Javid Iqbal Department of General Surgery, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20243741

Keywords:

Giant gallstone, Cholelithiasis, Gallbladder, Laparoscopic cholecystectomy

Abstract

Giant gallstones are an uncommon presentation of cholelithiasis, typically defined as gallstones measuring more than 5 cm in diameter. Though gallstones are a frequent clinical finding, stones of this size are rare and pose unique challenges in diagnosis and management. We present a case of a 45-year-old female who was found to have a giant gallstone during the evaluation of abdominal pain. This case report highlights the clinical presentation, diagnostic approach, and surgical management regarding giant gallstones.

Metrics

Metrics Loading ...

References

Shaffer EA. Gallstone disease: Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol. 2006;20(6):981-96.

Freeman MH, Mullen MG, Friel CM. The progression of cholelithiasis to gallstone ileus: do large gallstones warrant surgery? J Gastrointest Surg. 2016;20(6):1278-80.

Hussain T, Adams M, Ahmed M, Arshad N, Solkar M. Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication. Ann R Coll Surg Engl. 2016;98(6):88-91.

Igwe PO, Diri ON. Laparoscopic cholecystectomy for giant gall stone: report of two cases. Int J Surg Case Rep. 2020;67:207-10.

Kumar A, Kumar A, Kumar D, Paswan N, Kumar B. Laparoscopic removal of giant gallstones. J Pediatr Surg Case Rep. 2020;62:101637.

Lammert F, Sauerbruch T. Mechanisms of disease: the genetic epidemiology of gallstones. Nat Clin Pract Gastroenterol Hepatol. 2005;2(9):423-33.

Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172-87.

Festi D, Sottili S, Colecchia A, Attili A, Mazzella G, Rada E, et al. Clinical manifestations of gallstone disease: evidence from the multicenter Italian study on cholelithiasis (MICOL). Hepatology. 1999;30:839-46.

Andrea C, Enzo A. Cholesterol gallstones larger than 3 cm appear to be associated with gallbladder carcer. Ann Surg. 2016;263(3):e56.

Dalal S, Pankaj, Bhoriwal S, Kumar R, Sujata. Giant gallstone: A rare indication of open cholecystectomy. JCR. 2014;4:17-9.