Abstract:
partialPartial cholecystectomy is an important tool for general and hepatobiliary specialists facing complex or severe cases
of cholecystitis with high risk of postoperative complications (3). Our case is a rare case of gastric outlet
obstruction that presented after a sub-total open cholecystectomy. Diagnosis was made based on the clinical
presentation, imaging, and gastroscopy, which states the presence of a severe duodenal stenosis, pyloric thickening,
and a duodenal fistula. The patient was managed by the placement of a duodenal stent. The results were satisfying,
a resolution of the duodenal defect as well as opening of the blocked lumen after the removal of the stent.
Introduction:
Cholecystectomy is a frequently performed procedures, althoughprocedure. Although 92% of cholecystectomies are now done
laparoscopically, open cholecystectomy is still performed in case of complicated cholecystitis or in cases where
visualization is poor, and anatomy is unclear (1,4,5). Open cholecystectomy is often associated with more
complications compared to the laparoscopic technique; this is because only complicated cases undergo the open
approach (2). Bile leaks, bile duct injuries, and dropped gallstones, are all complications associated with this
procedure. However, rare complications may occur. Our case was a complicated case of gastric outlet obstruction
and duodenal fistula after an open subtotal cholecystectomy. This article is of importance as no similar cases were
reported in literature.
Case presentation:
A 28-year-old female presented with one month history of postprandial vomiting and epigastric pain that stared
immediatelystarted immediately after doinghaving a partial open cholecystectomy on 13/5/2022. From that time, she visited the ED multiple
times for vomiting and electrolyte Imbalance. According to her mother, she lost more than 10Kg; she went from
62kg to less than 50 kg. On clinical examination, she was vitally stable. She looked ill and dehydrated. No fever or
jaundice. On abdominal examination, there was right upper quadrant swelling and a scar at the site of surgery,.