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Lost gallstones found in a hernial sac

D Rosin¹, Y Korianski, A Yudich

¹Department of General Surgery and Transplantation, Sheba Medical Center, Tel Hashomer, Israel.

Journal of Laparoendoscopic Surgery

|December 1, 1995

Summary

Bile and gallstones can spill during laparoscopic cholecystectomy. Retained gallstones were unexpectedly discovered months later within a hernia sac, highlighting a rare complication.

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Area of Science:

Gastroenterology and Hepatobiliary Surgery
Surgical Complications
Abdominal Surgery

Background:

Laparoscopic cholecystectomy is a common surgical procedure.
Spillage of bile and gallstones during the procedure is a known, though infrequent, complication.
The long-term consequences and natural history of retained gallstones are not well-documented.

Observation:

A case is presented where gallstones were inadvertently spilled during laparoscopic cholecystectomy.
These retained gallstones were later identified incidentally.
The stones were found within a hernia sac several months post-operatively.

Findings:

The study documents a rare instance of retained gallstones from a cholecystectomy.
The gallstones migrated and were discovered within an unusual location, a hernia sac.
This finding suggests a potential, albeit uncommon, pathway for retained gallstones.

Implications:

This case expands the understanding of the potential migration and long-term fate of retained gallstones.
It highlights the importance of meticulous surgical technique to minimize gallstone spillage.
Further investigation may be warranted into the natural history and potential sequelae of retained gallstones in unexpected anatomical locations.

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