Gallstone granuloma: a rare complication of laparoscopic cholecystectomy

Gallstone spillage during laparoscopic cholecystectomy is a relatively common occurrence. These intraperitoneal stones rarely give rise to complications. We present the case of a 68 female who presented with a 5 cm diameter epigastric mass two years after a laparoscopic cholecystectomy for acute-on-chronic cholecystitis with gallbladder stones. CT abdomen demonstrated an inflammatory mass with central calcification. Laparotomy and excision of the mass revealed the diagnosis as a gallstone granuloma.