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Abstract:The necessity of routine interval appendectomy after resolution of appendicular mass is debatable. A study was conducted to evaluate whether surgical factors and pathological features of excised appendices support interval appendectomy.

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In the current era of minimally invasive surgery, Laparoscopic Cholecystectomy has become the gold standard for the surgical management of symptomatic gallstones. However, with the increase in the number of laparoscopic operations performed, there has also been a noticeable increase in the number of complications specific to these procedures. Known complications of laparoscopic Cholecystectomy include bowel and vascular injury, injury of the bile duct and complications of retained stones, in less than 5% procedures performed. Spillage of bile and stones in the abdominal cavity has been reported in 15%-40% of procedures performed, but these are believed to be innocuous. We report a patient who suffered a thoraco abdominal complication in form of right sub diaphragmatic abscess, may be due to bile spillage, three weeks after initial operation.

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