Endoscopic sleeve gastroplasty(ESG)is a minimally invasive procedure used in the treatment of obesity,with a complication rate of less than 2%of cases.There have been only two reported cases worldwide of gallbladder i...Endoscopic sleeve gastroplasty(ESG)is a minimally invasive procedure used in the treatment of obesity,with a complication rate of less than 2%of cases.There have been only two reported cases worldwide of gallbladder injuries as a major complication of ESG.CASE SUMMARY We present the case of a 34-year-old patient who developed a complication after ESG.The patient experienced epigastric and right hypochondrium pain 12 h after the procedure,and a positive Murphy’s sign was identified on physical examination.Laboratory results showed a leukocyte count of 17×10^(3)/μL,and computed tomography indicated the presence of free fluid in the pelvic cavity and perihepatic recesses as well as a possible suture in the wall of the Hartmann’s pouch toward the anterior surface of the stomach.A diagnostic laparoscopy was performed,revealing plication of the Hartmann’s pouch wall to the anterior stomach wall.Laparoscopic cholecystectomy and lavage were carried out.The patient had a stable recovery and was discharged 72 h after surgery,tolerating oral intake.CONCLUSION Gallbladder plication should be suspected if signs and symptoms consistent with acute cholecystitis occur after ESG.展开更多
文摘Endoscopic sleeve gastroplasty(ESG)is a minimally invasive procedure used in the treatment of obesity,with a complication rate of less than 2%of cases.There have been only two reported cases worldwide of gallbladder injuries as a major complication of ESG.CASE SUMMARY We present the case of a 34-year-old patient who developed a complication after ESG.The patient experienced epigastric and right hypochondrium pain 12 h after the procedure,and a positive Murphy’s sign was identified on physical examination.Laboratory results showed a leukocyte count of 17×10^(3)/μL,and computed tomography indicated the presence of free fluid in the pelvic cavity and perihepatic recesses as well as a possible suture in the wall of the Hartmann’s pouch toward the anterior surface of the stomach.A diagnostic laparoscopy was performed,revealing plication of the Hartmann’s pouch wall to the anterior stomach wall.Laparoscopic cholecystectomy and lavage were carried out.The patient had a stable recovery and was discharged 72 h after surgery,tolerating oral intake.CONCLUSION Gallbladder plication should be suspected if signs and symptoms consistent with acute cholecystitis occur after ESG.
