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A complicated abscess from a dropped gallstone
Serena Murphy1, James Hebert1, Bruce Leavitt1
1Department of Surgery, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT, USA.
Abstract:
Laparoscopic cholecystectomies represent one of the most common procedures of General Surgery. Dropped gallstones during laparoscopic cholecystectomy is a rare occurrence but can potentially lead to morbid complications. We present a rare case of a broncho-pleuro-cutaneous fistula in a patient with recurrent abscess formations after an elective laparoscopic cholecystectomy. The fistula formed over 3 years from a gallstone that eroded through the diaphragm, into the pleural space, and eventually into a terminal bronchiole. Bilirubin staining within the fistula tract was confirmed on hematoxylin and eosin staining.
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