GIANT GALLSTONES : A CASE REPORT

Ferdi Stefiyana, Hendra Ciptab, M. Hafidh KomarC

a
General Surgery Resident, Medical Faculty of Sriwijaya University, Mohammad
Hoesin Hospital, Palembang.
b
General Surgeon, Sekayu General Hospital, Sekayu
c
Digestive Surgeon, Mohammad Hoesin Hospital, Palembang.

Abstract
Introduction
There is a high incidence of gallstones in the Indonesian population. But giant
gallstones is a rare case. Giant/large gallstones have high risk of complications,
and technical difficulties during surgery

Presentation of case
We report on a 57-year-old man who complained of abdominal pain in the right
upper quadrant at least 10 years. Abdominal ultrasound indicated a single,
extremely large pear-shaped gallstone (10.41 cm long, and 1.47 cm wide). Open
cholecystectomy was carried out successfully. A single giant gallstones with 7.2
cm in long and 2.4 cm in wide has been removed.

Discussion and Conclusion

We have been unable to find a report of a larger gallstone in Indonesia literature.
Gallstones >5 cm are very rare, with higher risk of complications. Gallbladder
should be removed even if asymptomatic. Gallstones >3 cm have increased risk
for gallbladder cancer, biliary enteric fistula and ileus.

Keywords: Cholecystectomy, Gallstones, giant