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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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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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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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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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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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Dropped Gallstone Presenting as Recurrent Abdominal Wall Abscess.

Kaushik Kumar1, Christopher J Haas2,3

  • 1MedStar Health Internal Medicine Residency Program, Baltimore, MD, USA.

Radiology Case Reports
|April 18, 2022
PubMed
Summary

Dropped gallstones after laparoscopic cholecystectomy can form abscesses years later. This case highlights a delayed abdominal wall abscess due to a retained gallstone, emphasizing the need for vigilance in diagnosing abdominal masses.

Keywords:
Dropped gallstoneLaparoscopic cholecystectomyMagnetic resonance imagingOpen laparotomyRecurrent abdominal abscessRetained gallstone

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Area of Science:

  • Surgical complications
  • Gastroenterology
  • Diagnostic imaging

Background:

  • Dropped gallstones are a rare complication of laparoscopic cholecystectomy.
  • Retained gallstones can mimic other serious intra-abdominal pathologies, posing diagnostic challenges.

Observation:

  • An 86-year-old male presented with a large abdominal wall mass 15 years post-cholecystectomy.
  • Initial imaging revealed a cystic mass with debris; the patient experienced recurrent symptoms despite drainage and antibiotics.

Findings:

  • A punctate calcification within the abscess pocket on MRI confirmed a retained gallstone as the cause.
  • The case illustrates a delayed presentation of an abdominal wall abscess secondary to a dropped gallstone.

Implications:

  • Retained gallstones should be considered in the differential diagnosis of abdominal masses, even years after surgery.
  • High clinical suspicion is crucial due to the potential for prolonged, indolent presentations and unusual locations.