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Updated: Oct 25, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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[Subcostal abscess after laparoscopic cholecystectomy].

Siem A Willems^1,2, Jeroen J W M Brouwers¹, Marcus A M Brouwers¹

¹HagaZiekenhuis, afd. Heelkunde, Den Haag.

Nederlands Tijdschrift Voor Geneeskunde

|August 4, 2021

Summary

This summary is machine-generated.

A dropped gallstone caused a subcostal mass and abscess three years after laparoscopic cholecystectomy. This case highlights a rare complication of gallstone retrieval during gallbladder surgery.

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Area of Science:

Gastroenterology
Surgical Complications
Abdominal Imaging

Background:

Laparoscopic cholecystectomy is a common surgical procedure.
Dropped gallstones are a known, though infrequent, complication.
Post-cholecystectomy complications can manifest years later.

Observation:

A 54-year-old male presented with a right-sided subcostal mass.
The patient had a history of laparoscopic cholecystectomy.
The mass showed infiltration and abscess formation on MRI and during surgery.

Findings:

The subcostal mass and abscess were attributed to a retained, dropped gallstone.
The complication occurred three years after the initial gallbladder surgery.
This indicates a delayed presentation of a dropped gallstone.

Implications:

This case underscores the importance of meticulous surgical technique to prevent dropped gallstones.
Delayed complications from dropped gallstones require consideration in the differential diagnosis of post-abdominal surgery masses.
Awareness of such rare, late-onset complications is crucial for surgeons and radiologists.