• Haralabos Demetriades, Manousos G Pramateftakis, Ioannis Kanellos, Stamatios Angelopoulos, Ioannis Mantzoros, and Demetrios Betsis.
• 4th Surgical Department, Aristotle University of Thessaloniki G Papanikolaou General Hospital, Thessaloniki, Greece. haral@med.auth.gr
• J Laparoendosc Adv Surg Tech A. 2008 Apr 1; 18 (2): 276-9.

BackgroundUpper abdominal pain and other symptoms may recur after cholecystectomy, often presenting a diagnostic challenge. We will analyze 3 cases of gallbladder remnants, containing stones that presented with recurrent biliary symptoms.Patients And MethodsThree patients have presented to our clinic with recurrent biliary symptoms, after laparoscopic cholecystectomy, over the last 5 years. All 3 had biliary pain similar to the symptoms that precede cholecystectomy; 1 of them also had associated mild jaundice.ResultsA cystic lesion containing stones was identified on transabdominal ultrasound in all 3 patients, suggesting the possibility of a gallbladder remnant. Magnetic resonance cholangiopancreatography confirmed the diagnosis of a gallbladder remnant in 2 of them. The 3 patients underwent endoscopic retrograde cholangiopancreatography (ERCP) owing to jaundice. This revealed a dilated gallbladder remnant and sludge into the bile duct and was treated by sphincterotomy and cleansing of the duct. All 3 patients were treated successfully via laparoscopic "recholecystectomy."ConclusionGallbladder remnant, containing stones, can be the cause of otherwise unexplained postcholecystectomy pain. "Recholecystectomy" constitutes the definite treatment for any residual gallbladder remnant and can be performed laparoscopically.

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