Delayed presentation of spilled gallstones

Area of Science:

• Gastroenterology
• Surgical Complications
• Minimally Invasive Surgery

Background:

• Laparoscopic cholecystectomy is a common surgical procedure for gallstones.
• Gallstone spillage during surgery can lead to intra-abdominal complications.
• Umbilical port site infections and sinus tracts are potential, though uncommon, sequelae.

Observation:

• A case report details a patient developing a cutaneous sinus at the umbilical port site post-laparoscopic cholecystectomy.
• The sinus tract was found to contain gallstones, indicating spillage during the initial procedure.
• Diagnosis was confirmed through endoscopic exploration.

Findings:

• Flexible cystoscopy enabled visualization and identification of gallstones within the sinus tract.
• Surgical intervention involved the removal of retained gallstones.
• Curettage of the sinus tract was performed to ensure complete resolution.

Implications:

• Highlights the importance of meticulous surgical technique to prevent gallstone spillage.
• Emphasizes the utility of flexible cystoscopy in diagnosing and managing complex port site complications.
• Underscores the need for awareness regarding potential long-term consequences of gallstone spillage, even after seemingly successful surgery.