4.5.24

An elderly patient (c/o Gurmukh Singh, ex-employee, gynae), 70 years of age, presented with epigastric and RUQ symptoms, with previous history of open cholecystectomy 2 years back at Malerkotla civil hospital through a small incision (so-called mini-lap).

The ultrasound scan, however, still showed a smaller rounded gallbladder.

An MRCP was obtained for local biliary anatomy.

At lap chole, dense omental and colonic adhesions took time to safely dissect off the top of the gallbladder which came into view only at the middle of the gallbladder fossa.
Thereafter, the going was easy. It was a small rotund residual gallbladder, suggesting the upper half had been removed (partial cholecystectomy).