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Gallstone shrapnel contamination during laparoscopic cholecystectomy

R Golub¹, C Nwogu, R Cantu

¹Department of Surgery, Flushing Hospital Medical Center, NY 11355.

Surgical Endoscopy

|August 1, 1994

Summary

Lost gallstones left in the abdomen after laparoscopic cholecystectomy can cause complications. Infected gallstone fragments led to microabscesses and granulomas in this patient.

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Laparoscopic cholecystectomy is a common surgical procedure.
The potential consequences of retained gallstones in the peritoneal cavity are not well-documented.

Observation:

A case involving a patient who developed complications after gallbladder extraction during laparoscopic cholecystectomy.
The patient presented with symptoms related to infected gallstone fragments within the peritoneal cavity and abdominal wall.

Findings:

The gallbladder ruptured during extraction, dispersing infected gallstone fragments.
These fragments resulted in the formation of microabscesses and granulomas in the peritoneal cavity and abdominal wall.

Implications:

Highlights the risks associated with retained gallstone fragments post-cholecystectomy.

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Underscores the importance of meticulous surgical technique to prevent intraoperative gallbladder rupture and subsequent complications.