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Updated: Aug 15, 2025
03:27
The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
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[Complications of a lost gallstone]
Dikyi Joyce Ponse1, Martina Heim Classen2, Raphael Jeker3
1Departement Innere Medizin, Kantonsspital Graubünden.
Deutsche Medizinische Wochenschrift (1946)
|January 2, 2023
Summary
A delayed diagnosis of an intra-abdominal abscess, potentially caused by a lost gallstone years after gallbladder removal surgery, highlights challenges in geriatric care. Prompt surgical intervention and antibiotics resolved the infection.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Surgical Complications
Background:
- Laparoscopic cholecystectomy is a common procedure, but complications can arise years later.
- Intra-abdominal abscesses present diagnostic challenges, especially in elderly patients.
- Geriatric patients often exhibit atypical symptoms, complicating diagnosis and treatment.
Observation:
- An 88-year-old male presented with prolonged, unexplained fever, weakness, and nausea.
- Imaging revealed a large abscess extending from the intra-abdominal cavity to the lumbar spine.
- The patient had a history of laparoscopic cholecystectomy 11 years prior.
Findings:
- A diagnosis of an intra-abdominal abscess secondary to a retained gallstone was made.
- Surgical drainage and antibiotic therapy were initiated.
- Postoperative delirium occurred, requiring extended care.
Implications:
- This case underscores the importance of considering delayed complications after cholecystectomy.
- Atypical presentations in the elderly necessitate thorough diagnostic workups.
- Timely intervention is crucial to prevent severe morbidity and mortality in geriatric patients.
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