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Case report: an unwanted leftover after laparoscopic cholecystectomy
Eline Stroobants1,2, Peter Cools1, Francis Somville2
1a Department of General, Digestive and Pediatric Surgery , Antwerp , Belgium.
Acta Chirurgica Belgica
|July 7, 2017
Summary
Spilled gallstones during laparoscopic cholecystectomy can lead to subhepatic abscesses. Prompt identification and removal of spilled gallstones are crucial for patient management and preventing complications.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Laparoscopic cholecystectomy is a common procedure.
- A 72-year-old female presented with right-sided abdominal pain post-cholecystectomy.
Observation:
- Imaging revealed a subhepatic abscess.
- Exploratory surgery identified multiple gallstones as the cause.
Findings:
- Gallstone spillage is an infrequent complication of laparoscopic cholecystectomy.
- A literature review identified 14 relevant articles on spilled gallstones.
Implications:
- Early diagnosis and management of spilled gallstones are essential.
- Complete removal of spilled gallstones is indicated.
- Patient communication regarding spillage aids in diagnosing complications.
