Related Experiment Videos
Granulomatous peritonitis after laparoscopic cholecystectomy mimicking pelvic endometriosis
S H Merchant1, S Haghir, G B Gordon
1Department of Pathology, State University of New York, Upstate Medical University, Syracuse, New York, USA.
Background:
Spillage of bile or gallstones, a relatively common occurrence during laparoscopic cholecystectomy, is believed to be inconsequential, but we describe a case of postlaparoscopic granulomatous peritonitis mimicking endometriosis.
Case:
A 20-year-old gravida 0 presented with chronic lower abdominal pain and dysmenorrhea. Laparoscopy showed red-brown pigmented pelvic adhesions, which on biopsy showed foreign-body-type granulomatous reaction, both suggesting endometriosis, but a history of laparoscopic cholecystectomy and a positive Fouchet's stain for bile gave the true etiology of the granulomatous reaction.
Conclusion:
With increasingly widespread use of laparoscopic cholecystectomy, and relatively common spillage of bile or gallstones at surgery, granulomatous peritonitis mimicking endometriosis might become more frequent.