Spilled gallstones mimicking a retroperitoneal sarcoma following laparoscopic cholecystectomy
Laparoscopic cholecystectomy has become a standard treatment of symptomatic gallstone disease. Although spilled gallstones are considered harmless, unretrieved gallstones can result in intra-abdominal abscess. We report a case of abscess formation due to spilled gallstones after laparoscopic cholecy...
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Published in | World journal of gastroenterology : WJG Vol. 22; no. 17; pp. 4421 - 4426 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Inc
07.05.2016
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Subjects | |
Online Access | Get full text |
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Summary: | Laparoscopic cholecystectomy has become a standard treatment of symptomatic gallstone disease. Although spilled gallstones are considered harmless, unretrieved gallstones can result in intra-abdominal abscess. We report a case of abscess formation due to spilled gallstones after laparoscopic cholecystectomy mimicking a retroperitoneal sarcoma on radiologic imaging. A 59-year-old male with a surgical history of a laparoscopic cholecystectomy complicated by gallstones spillage presented with a 1 mo history of constant right-sided abdominal pain and tenderness. Computed tomography and magnetic resonance imaging demonstrated a retroperitoneal sarcoma at the sub-hepatic space. On open exploration a 5 cm × 5 cm retroperitoneal mass was excised. The mass contained purulent material and gallstones. Final pathology revealed abscess formation and foreign body granuloma. Vigilance concerning the possibility of lost gallstones during laparoscopic cholecystectomy is important. If possible, every spilled gallstone during surgery should be retrieved to prevent this rare complication. |
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Bibliography: | Bum-Soo Kim;Sun-Hyung Joo;Hyun-Cheol Kim;Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University Hospital at Gandong, Kyung Hee University School of Medicine ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Telephone: +82-2-4406119 Fax: +82-2-4406295 Author contributions: Kim BS designed and wrote the paper; Joo SH supported writing of the paper; Kim HC reported radiologic imaging. Correspondence to: Bum-Soo Kim, MD, PhD, Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University Hospital at Gandong, Kyung Hee University School of Medicine, 892 Dongnam Ro, Gangdong Gu, Seoul 134-727, South Korea. kbs420@hanmail.net |
ISSN: | 1007-9327 2219-2840 |
DOI: | 10.3748/wjg.v22.i17.4421 |