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Clostridial gas gangrene of the abdominal wall after laparoscopic cholecystectomy
Abstract:
Laparoscopic cholecystectomy is associated with a considerable rate of infectious complications of up to 2.8%. Such infections are usually of minor clinical importance. However, we observed a case of life-threatening Clostridial gas gangrene centering around the right lateral port site and developing across all of the right-sided abdominal wall, causing septic shock and severe multi-organ failure. Considering the overall infection rate and the possibility of even severe morbidity, we advocate perioperative antibiotics in laparoscopic cholecystectomy.
Insights
Laparoscopic cholecystectomy can lead to rare but severe infections like gas gangrene. To prevent serious complications, doctors should consider giving antibiotics before and after surgery.
Area of Science:
- Surgical Infections
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy has an infection rate of up to 2.8%.
- Most post-operative infections are minor.
Observation:
- A rare case of life-threatening Clostridial gas gangrene occurred.
- The infection originated at the right lateral port site.
Findings:
- The gas gangrene spread across the abdominal wall.
- The patient developed septic shock and multi-organ failure.
Implications:
- Perioperative antibiotics are recommended for laparoscopic cholecystectomy.
- This measure may prevent severe infectious complications and reduce morbidity.