Giant Gallstone Disease Managed by Laparoscopic Cholecystectomy - A Rare Case Report from India

Giant gallstone disease (>5 cm) is rare and very few cases have been described in published scientific literature. Here, we present a case of a 50 -year -old male who presented to surgical OPD with history of post -prandial pain in the abdomen and dyspepsia for 1 year. Physical examination revealed mild tenderness on palpation in the right hypochondriac region. Contrast -enhanced computed tomography and ultrasound of abdomen revealed large gallstone of 5 cm size. Patient underwent laparoscopic cholecystectomy, which led to extraction of a solitary gallstone measuring 8 cm x 7 cm (about 100 grams). Post -operative course was uneventful, and patientwas discharged on third post -operative day with the drain, which was removed on 5 th postoperative day.The histopathological report revealed acute on chronic cholecystitis and no evidence of malignancy.This is a rare case from India wherein a patient with an unusually large gallstone underwent a successful laparoscopic cholecystectomy surgery.