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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.
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

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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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Chronic Pancreatitis I: Introduction01:24

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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.
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Acute Pancreatitis I: Introduction01:27

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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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.

Journal of Surgical Case Reports
|November 9, 2019
PubMed
Summary
This summary is machine-generated.

Dropped gallstones during laparoscopic cholecystectomy, a rare complication, can cause serious issues. This case highlights a 3-year development of a broncho-pleuro-cutaneous fistula due to an eroded gallstone.

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Area of Science:

  • General Surgery
  • Surgical Complications
  • Gastroenterology

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • Dropped gallstones are a rare but potentially serious complication.
  • Complications can arise long after the initial surgery.

Observation:

  • A patient developed recurrent abscesses after laparoscopic cholecystectomy.
  • A broncho-pleuro-cutaneous fistula formed over three years.
  • The fistula tract showed evidence of bilirubin staining.

Findings:

  • A gallstone eroded through the diaphragm into the pleural space.
  • The gallstone eventually eroded into a terminal bronchiole, forming the fistula.
  • This case illustrates a delayed and rare complication of dropped gallstones.

Implications:

  • Highlights the potential long-term morbidity of dropped gallstones.
  • Emphasizes the importance of considering rare complications in recurrent abscess cases.
  • Suggests the need for vigilance regarding retained surgical material.