Abdominal wall abscess following laparoscopic cholecystectomy: an unusual late complication of lost gallstones

J Coll Physicians Surg Pak. 2010 Nov;20(11):763-5.

Abstract

Laparoscopic cholecystectomy (LC) is associated with a significant risk of gallbladder perforation with spillage of bile and stones into the peritoneal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Majority of these cases do not have any problem in future but sometimes the lost stones lead to serious complications. The authors present a case of lost gallstones, which resulted into an abdominal wall abscess and discharging sinus 9 years after LC. This late presentation is among the very few reports after LC. Risk factors for gallbladder perforation, various techniques to avoid spillage of stones, possible complications and their management is discussed.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / diagnostic imaging
  • Abdominal Abscess / etiology*
  • Abdominal Wall*
  • Adult
  • Cholecystectomy, Laparoscopic / adverse effects*
  • Cholecystolithiasis / surgery*
  • Female
  • Humans
  • Time Factors
  • Tomography, X-Ray Computed