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Necrotizing Soft Tissue Infection Caused by Spilled Gallstones
Narendra Pandit1, Harjeet Singh2, Hemanth Kumar1
1Division of Surgical Gastroenterology, Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
We report a case of a 57-year-old woman who presented with a necrotizing soft tissue infection of the right anterior abdominal wall, 1 year after open cholecystectomy for gallbladder perforation. Surgical exploration revealed pigmented gallstones along with pus in the abdominal wall and gallbladder fossa. Intraoperative spillage of gallstones is common during both open and laparoscopic cholecystectomy, but, in rare cases, can lead to serious complications including necrotizing infection of the abdominal wall.
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