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Related Concept Videos

Gallbladder01:17

Gallbladder

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
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Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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Spilled Gallstone: Late Presentation.

Mohammad Ibrarullah1, M S Modi1

  • 1Department of Surgical Gastroenterology, Apollo Hospitals, Bhubaneswar, 751005 Odisha India.

The Indian Journal of Surgery
|January 6, 2016
PubMed
Summary

A spilled gallstone caused an abscess 2 years after gallbladder removal surgery. A CT scan confirmed the diagnosis by revealing the gallstone within the abscess cavity.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery

Background:

  • Gallbladder stones (cholelithiasis) are common, and laparoscopic cholecystectomy is a standard treatment.
  • Complications from laparoscopic cholecystectomy, though rare, can occur, including retained or spilled gallstones.

Purpose of the Study:

  • To report a rare case of a delayed presentation of a spilled gallstone causing an abscess.
  • To highlight the diagnostic utility of imaging in such cases.

Main Methods:

  • A retrospective review of a single patient case.
  • Detailed analysis of clinical presentation and diagnostic imaging (Computerized Tomography scan).

Main Results:

  • A female patient developed an abscess 2 years post-laparoscopic cholecystectomy.
  • Computerized tomography scan identified a spilled gallstone within the abscess cavity, confirming the diagnosis.
Keywords:
ComplicationsGallstoneLaparoscopic cholecystectomy

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Conclusions:

  • Spilled gallstones can lead to delayed complications such as abscess formation.
  • Advanced imaging like CT scans is crucial for diagnosing retained or spilled gallstones presenting late after surgery.