Missed Gallstones in the Abdominal Wall: Complication of a Laparoscopic Cholecystectomy

Frade, S; Carrelha, S; Monteiro, N; Moniz, L; Viegas, H

http://hdl.handle.net/10400.17/4836

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Abstract(s)

Laparoscopic cholecystectomy, like any invasive procedure, is associated with complications. One of them often ignored despite its frequency, as the results of the low morbidity rate is stone spillage. We present a case of a 38 years male, with obesity; that underwent laparoscopic cholecystectomy for an acute cholecystitis. During surgery, gallbladder perforation occurred with stone spillage. An attempt was made for recovery of all stones. However, one month after surgery, the patient complained of abdominal pain in the upper right quadrant and an abscess of the deep abdominal wall was found caused by a missed gallstone. Although the definitive treatment was not immediate, an attempt at antibiotic therapy was made, unsuccessfully. Afterwards, this patient underwent gallstone extraction and removal of foreign body granuloma with complete resolution of the clinical condition.

Keywords

HSJ CIR Adult Humans Male Abdominal Pain / etiology Abdominal Wall / pathology Abscess / etiology Cholecystectomy, Laparoscopic / adverse effects* Cholecystitis, Acute / surgery Gallstones / diagnosis* Gallstones / pathology Gallstones / surgery Granuloma, Foreign-Body / diagnosis* Granuloma, Foreign-Body / pathology Granuloma, Foreign-Body / surgery Intraoperative Complications / diagnosis