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Related Experiment Videos

Lost gallstones: a relaparoscopic solution to laparoscopic pollution.

M Van Hoecke1, P Lissens, M Vuylsteke

  • 1Department of Surgery, Sint-Andries ZH Tielt, University Hospital Gent, Belgium.

Acta Chirurgica Belgica
|April 1, 2004
PubMed
Summary

A rare complication of gallstones lost after gallbladder removal surgery caused a gluteolumbar fistula. This case report details successful treatment using radiological intervention and therapeutic relaparoscopy.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Interventional Radiology

Background:

  • Laparoscopic cholecystectomy is a common procedure for gallstone disease.
  • Lost gallstones can lead to rare but serious intra-abdominal complications.
  • Gluteolumbar fistula is an uncommon sequela of retained gallstones.

Observation:

  • A patient presented with a gluteolumbar fistula 5 years post-laparoscopic cholecystectomy.
  • The fistula was attributed to retained, migrated gallstones.
  • Diagnostic imaging confirmed the presence and extent of the fistula.

Findings:

  • A combined treatment approach involving interventional radiology and therapeutic relaparoscopy was employed.
  • Radiological intervention facilitated targeted management of the fistula.

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  • Therapeutic relaparoscopy allowed for definitive surgical management and removal of the causative gallstones.

    • Implications:

    • This case highlights the potential for delayed complications from retained gallstones.
    • Combined radiological and surgical approaches can effectively manage complex fistulas.
    • Adherence to surgical best practices may reduce the incidence of retained gallstones.