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Updated: May 17, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

Gallstone ileus after laparoscopic cholecystectomy.

I Ivanov¹, M Beuran, M D Venter

¹Clinical Emergency Hospital, Bucharest, Romania.

Journal of Medicine and Life

|October 11, 2012

Summary

Gallstone ileus is a rare complication of gallstones. A lost gallstone during surgery caused colon obstruction and a persistent fistula.

Keywords:

calculus colon obstruction fistula gallstones intraperitoneal abscess

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Last Updated: May 17, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

Area of Science:

Gastroenterology
Surgical Complications

Background:

Gallstones affect 10% of the population in Western countries.
Gallstone ileus is a rare but serious complication, occurring in 0.3-0.5% of cases.
High morbidity and mortality are associated with gallstone ileus due to comorbidities, advanced patient age, and delayed diagnosis.

Observation:

A case of partial colon obstruction caused by a large gallstone.
The gallstone was lost during an emergency laparoscopic cholecystectomy.
The calculus eroded the intestinal wall, leading to partial lumen occlusion and recurrent subocclusive episodes.

Findings:

The eroded gallstone caused partial colon obstruction and recurrent symptoms.
An intraperitoneal abscess formed and spontaneously drained through a subhepatic drain.
A persistent intermittent fistula became apparent after drain removal.

Implications:

This case highlights a rare surgical complication of gallstone disease.
Delayed diagnosis and management contribute to poor outcomes in gallstone ileus.
The formation of a fistula presents unique challenges in patient management.