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Cholelithiasis of the ovary
J P Tursi1, U M Reddy, G Huggins
1Department of Obstetrics and Gynecology, Francis Scott Key Hospital, Johns Hopkins Health Care System, Baltimore, Maryland.
Obstetrics and Gynecology
|October 1, 1993
Summary
Gallstones lost during laparoscopic cholecystectomy can lead to ovarian and pelvic complications. Prompt removal of dropped gallstones is recommended to prevent adverse outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Laparoscopic cholecystectomy is a common procedure for gallstone disease.
- Complications typically involve operative time, bleeding, and infection.
- This case highlights a rare complication: ovarian cholelithiasis.
Observation:
- A 70-year-old woman developed a pelvic mass post-laparoscopic cholecystectomy.
- Exploratory laparotomy revealed a para-ovarian cyst and pelvic implants.
- Pathology confirmed ovarian and peritoneal gallstones.
Findings:
- Gallstones in the ovary and peritoneum caused mesothelial proliferation.
- Hemorrhage and adhesion formation were noted.
- These findings indicate significant pathologic consequences.
Implications:
- Pelvic cholelithiasis can occur after laparoscopic cholecystectomy.
- This complication has implications for both postmenopausal and premenopausal patients.
- Surgical teams should prioritize removing any inadvertently dropped gallstones.