Asian Journal of Case Reports in Surgery

Cholecystolithiasis, the most common biliary disorder, is more common in women. The most common complications of the gallbladder stone are biliary colic, cholecystitis, mucocele, gallbladder empyema, gangrene, perforation, and peritonitis. Laparoscopic or open cholecystectomy is the only option for the treatment of these diseases. The gallbladder may become overdistended due to cystic duct or gallbladder neck obstruction due to gallstones. However, a grossly distended gallbladder (> 14 cm in length) without any pathology is rare. Here, we are introducing a female patient aged 42 years, who is previously healthy, who came to the casualty with a picture of acute calculus cholecystitis, which was confirmed by abdominal ultrasound. Laparoscopic cholecystectomy was done after two days. During the operation, an overdistended gall bladder was found (about 18 cm after evacuation of the bile and removal of the multiple stones). The post-operative period was unremarkable. The patient was sent home after a four-day hospital stay. On follow-up in the outpatient clinic, the patient had no complaints.