PMC4976130_01
Magnetic Resonance Cholangiopancreatography Image depicting multiple small calculi seen in gall bladder (red arrow). Common bile duct and common hepatic duct appear normal.
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Cholangiopancreatography(MRCP), multiple small calculi were seen suggestive of cholelthiasis (Fig. 1). Common bile duct and common hepatic duct were found normal.
(A) Intraoperative photograph showing a 5 mm supraumbilical camera port and a 5 mm epigastric port (long white arrow) with site of alligator port insertion in the midclavicular line and anterior axillary line marked by the smaller two white arrows. (B) & (C) Depicting removal of gall bladder specimen and gross gall bladder specimen respectively.
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After appropriate preoperative investigations and discussion with paediatrics and anaesthesia team, Laparoscopic cholecystectomy was done under general anesthesia using two 5 mm ports and two alligators (Fig. 2A & B). It showed changes suggestive of chronic cholecysitits (Fig. 2C).
Showing: (A) Dissection of the Calot's triangle. (B) Clipping of cystic duct. (C) Division of cystic duct. (D) Dissection of gall bladder off the gall bladder fossa.
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The calculi were pigment type (Fig. 3).