However the rise of laparoscopic cholecystectomy has opened up a new debate on the increased incidence of postcholecystectomy syndrome
and DVT as compared to open cholecystectomy.
In our case, pure abdominal pain made us consider the postcholecystectomy syndrome
Patients with a postcholecystectomy syndrome
have diverticuli in 30% of cases .
Gaby cites a study in which gallbladder symptoms were eliminated in "100 percent of 69 patients with gallstones or postcholecystectomy syndrome
" after 1 week on an elimination diet.
A wide range of biliary as well as extra-biliary disorders can cause the "postcholecystectomy syndrome
", biliary strictures, retained stones in the common bile duct, or stones in a long cystic duct or in a remnant of the gallbladder are important treatable causes in patients having persistent symptoms after cholecystectomy.
These signs and symptoms, which are collectively referred to as postcholecystectomy syndrome, consist of the same ones that existed before the operation or new ones that normally can be attributed to a diseased gallbladder.
Postcholecystectomy syndrome occurs more often in women than in men; in younger than older patients; and in people who have had symptoms for a longer period before surgery.
People with postcholecystectomy syndrome need to be examined and worked-up.
Clinicians should maintain a high index of suspicion for the postcholecystectomy syndrome
when patients present with a classic history.
Frequencies and percentages were calculated for incidence of postcholecystectomy syndrome in male and female predisposition, pattern of symptoms and causes of post cholecystectomy syndrome.
Biliary causes of postcholecystectomy syndrome. J Emerg Med 2010; 39(4): 406-10.