Related Experiment Videos
Gallstone expectoration following laparoscopic cholecystectomy
Rohtas K Yadav1, Vikram S Yadav, Pradeep Garg
1Department of Radiodiagnosis, Pt B.D. Sharma PGIMS, Rohtak, Haryana, India.
Summary
Spilled gallstones after laparoscopic cholecystectomy can cause infection. In a rare case, these stones eroded the diaphragm and were coughed up 12 months later.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Imaging
Background:
- Laparoscopic cholecystectomy is the standard treatment for uncomplicated gallstone disease.
- Gallstone spillage during laparoscopic procedures can lead to intra-abdominal infections.
- Prompt diagnosis and management of complications are crucial for patient outcomes.
Observation:
- A patient developed an unusual complication 12 months post-laparoscopic cholecystectomy.
- Spilled gallstones were observed to erode through the diaphragm.
- The eroded gallstones were subsequently expectorated.
Findings:
- This case highlights a rare but significant complication of gallstone spillage.
- Diaphragmatic erosion by gallstones is an atypical presentation.
- Spontaneous expectoration of gallstones occurred after a prolonged period.
Implications:
- Awareness of rare complications associated with gallstone spillage is important for surgeons.
- Further investigation may be warranted for patients presenting with delayed respiratory symptoms post-cholecystectomy.
- This case broadens the understanding of potential long-term consequences of dropped gallstones.