Síndrome postcolecistectomía por cálculos biliares caídos

Abstract

Introduction: Post-cholecystectomy syndrome is a set of gastrointestinal symptoms that can be organic or functional and of biliary or non-biliary origin. On certain occasions, it occurs some time after having performed a laparoscopic cholecystectomy, due to the presence of intraperitoneal lithiasis released during the said intervention. Clinical case: Middle-aged patient who came to the emergency room for abdominal pain focused on the right upper quadrant, who had undergone laparoscopic cholecystectomy months before. The imaging tests were carried out to reveal the existence of heterogeneous collections with lithiasis in their interior in a subhepatic and right subphrenic location, compatible with abscesses derived from residual lithiasis. The patient was intervened by surgery with the drainage and aspiration of said abscesses. Post-colecystectomy syndrome is a common condition of recurrence of biliary symptoms that occurs in patients with a history of previous laparoscopic cholecystectomy. Individualized diagnosis and treatment strategies are required for optimal management and results, depending on the surgical treatment of the majority of cases.