Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones

• Published in: Case reports in orthopedics Vol. 2018; no. 2018; pp. 1 - 6
• Main Authors: Keggi, Kristaps J., Wyllie, Adrian K., Wiznia, Daniel H., Tyagi, Vineet
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 2018; Hindawi; John Wiley & Sons, Inc; Hindawi Limited
• Subjects: Care and treatment; Case Report; Case reports; Cholecystectomy; Cholecystitis; Communication; E coli; Gallbladder; Gallstones; Health aspects; Hip joint; Implants, Artificial; Infection; Infections; Joint surgery; Laparoscopy; Medical imaging; Patients; Prostheses; Prosthesis; Surgeons; Surgery; Tuberculosis
• ISSN: 2090-6749; 2090-6757
• DOI: 10.1155/2018/9706065

Laparoscopic cholecystectomy is a surgical treatment for acute cholecystitis or symptomatic cholelithiasis. One potential complication, the spillage of gallstones into the peritoneal cavity, can form a nidus for infection and may be associated with hepatic, retroperitoneal, thoracic, and abdominal wall abscesses. We report a case of a patient presenting with a right iliopsoas abscess and an infected right hip prosthesis status postlaparoscopic cholecystectomy. A CT demonstrated that the acetabular shell was overmedialized and perforated through the medial wall. The patient was taken to the operating room for explantation of components. A collection of gallstones was identified deep to the acetabulum during the explantation. The case highlights the importance of avoiding overmedialization of the acetabular component, which can provide a direct route for infection into the hip joint.