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Single stage laparo-endoscopic management of acute cholecystitis and common bile duct stones

Gf Donatelli, MD L Marx, MD C Callari, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2012;12(02). URL: http://websurg.com/doi/vd01en3583

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  • 2007
  • 9
  • 2012-02-15
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This video demonstrates the case of a 27-year-old woman, admitted to the emergency department for acute right hypochondrium pain. Clinical examination found a positive Murphy’s sign. Biological findings showed a cholestasis (Gamma Glutamyl Transferase at 576 l/U, Alkaline Phosphatase at 346 l/U), and cytolysis (AST at 460 I/U, ALT at 635 I/U) without jaundice. Abdominal ultrasonography confirmed the presence of acute cholecystitis with thickening of the gallbladder wall associated with a moderate 8mm dilatation of the common bile duct without any lithiasis. Antibiotic therapy was started and cholecystectomy with intraoperative cholangiography was decided upon because of the clinical presentation and biological disturbance.