REDO LAPAROSCOPIC CHOLECYSTECTOMY FOR REMINANT GALL BLADDER STUMP: A RARE CASE REPORT & REVIEW

Laparoscopic cholecystectomy is the treatment of choice for symptomatic gall stone disease. Symptoms may persist in some patients after laparoscopic cholecystectomy due to remnant gall bladder (GB) stump. Such a possibility arises in a setting of difficult calot’s triangle anatomy where surgeon may prefer or inadvertently land up with a partial cholecystectomy.  Magnetic Resonance Cholangiopancreaticogram (MRCP) emerges as the optimal method for evaluating the biliary tree in these cases as it is a non-invasive method. With advances in laparoscopic surgery and increasing experience of surgeons, even these can be operated laparoscopically. We present an interesting case with clip migration and clip acting as a nidus in the setting of remnant GB stump. Revisional laparoscopic cholecystectomy was done. Postoperative period was uneventful. Patient was asymptomatic 6 months follow up period.