Laparoscopic Approach Over Open Cholecystectomy for Giant Gallstone Disease: A Case Report

Dr. Mrunal Kshirsagar, Dr. Sudhir Kumar Jain, Dr. Rajdeep Singh, Dr. Rathindra Tripura, Dr. Himani Manhas

Abstract: Giant gallstone is defined as those stones exceeding 5 cm in size, is exceptionally uncommon, with very few documented cases in the scientific literature. This case represents a rare occurrence in India, where a patient with an exceptionally large gallstone underwent successful laparoscopic cholecystectomy surgery. A 46 - year - old man presented with right upper abdominal pain and fever one week post - PCNL. Imaging revealed a distended gall bladder containing a large calculus. Laparoscopic cholecystectomy revealed moderate adhesions and a thickened gall bladder wall with a size 7 * 5 cm solitary gallstone. Histopathological analysis indicated acute on chronic cholecystitis with no signs of malignancy.

Keywords: Giant Gallstone Disease, Percutaneous Nephrolithotomy, Renal Calculi, Laparoscopic Cholecystectomy