Intraperitoneal Stones Couse of Postcholecystectomy Syndrome : Case Report and Review of the Literature

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Published: Feb 24, 2026
DOI: https://doi.org/10.47191/ijmscrs/v6-i2-24
Keywords:
laparoscopic cholecystectomy, postcholecystectomy syndrome, intraperitoneal liths, laparoscopic reoperation, residual stones.

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Jenrry Nataniel Orihuela Pedreros
Fourth-year resident in General Surgery, Department of General Surgery, Health Services of Yucatán, "Dr. Agustín O'Horán" General Hospital, Mérida, Yucatán, Mexico. Faculty of Medicine, "Universidad Autónoma de Yucatán
Judith Guadalupe Peña del Ángel
Third-year resident in Epidemiology, Department of Epidemiology, Health Services of Yucatán, “Lic Ignacio García Tellez” IMSS General Hospital, Mérida, Yucatán, Mexico.
Carla Ruby Beylan Vázquez
General Surgeon, attending physician in the General Surgery Department, Health Services of Yucatán, “Dr. Agustín O’Horán” General Hospital, Mérida, Yucatán, Mexico.
Maxim Alejandra Muñoz Gómez
General Surgeon, attending physician in the General Surgery Department, Health Services of Yucatán, “Dr. Agustín O’Horán” General Hospital, Mérida, Yucatán, Mexico.
Jorge Luis López Villegas
General Surgeon, attending physician in the General Surgery Department, Health Services of Yucatán, “Dr. Agustín O’Horán” General Hospital, Mérida, Yucatán, Mexico.
Jesús Armando Ruvalcaba Velázquez
General Surgeon, Head of Services of General Surgery Department, Health Services of Yucatán, “Dr. Agustín O’Horán” General Hospital, Mérida, Yucatán, Mexico.

Abstract

Background: Postcholecystectomy syndrome due to abandoned intraperitoneal stones is a rare but significant complication of laparoscopic cholecystectomy. Case: A 52-year-old woman with a history of cholecystectomy 15 years ago, who presented pain in the right hypochondrium, nausea and vomiting. Imaging studies revealed intraperitoneal stones and scleroatrophic remnant gallbladder. Intervention: Laparoscopic reoperation was performed with extraction of two stones (one free intraperitoneal of 4×3 cm and another intravesicular of 5×3 cm) and completed cholecystectomy of the remaining gallbladder. Result: Successful procedure with no intraoperative complications. The patient had a favorable postoperative evolution with complete resolution of the symptoms. Conclusion: Laparoscopic management of postcholecystectomy syndrome due to residual stones is effective even in the presence of severe adhesions. Prevention by careful surgical technique and thorough washing during the initial cholecystectomy is essential.

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How to Cite
Orihuela Pedreros, Jenrry Nataniel, Judith Guadalupe Peña del Ángel, Carla Ruby Beylan Vázquez, Maxim Alejandra Muñoz Gómez, Jorge Luis López Villegas, and Jesús Armando Ruvalcaba Velázquez. 2026. “Intraperitoneal Stones Couse of Postcholecystectomy Syndrome : Case Report and Review of the Literature”. International Journal of Medical Science and Clinical Research Studies 6 (02):384-89. https://doi.org/10.47191/ijmscrs/v6-i2-24.
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Vol. 6 No. 02 (2026): Volume 06 Issue 02 February 2026
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Articles
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