[Abdominal fistula 7 years after laparoscopic cholecystectomy]

A 64-year old female presented with fistulas on the abdomen 7 years after laparoscopic cholecystectomy. During fistula excision, several gallstones were found. Scrutiny of the medical records revealed that spillage of gallstones had occurred during the cholecystectomy. We conclude that spilled gallstones may cause fistulas or abscesses even several years after cholecystectomy. Preventive measures such as gentle handling of the gallbladder and vigorous efforts to retrieve all lost gallstones seem important.