An ectopic biliary calculus mimicking gastric neoplasm: A late complication of spilled gallstones

Alnaji, Raed M.; Kukar, Moshim; Singh, Anand; LeVea, Charles; Hochwald, Steven N.

doi:10.1016/j.surg.2014.07.013

Cited by 1 publication

(2 citation statements)

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“…While pigmented stones are readily distinguishable due to their highcalcium content through computed tomography, pure cholesterol stones may not be so because of their low-calcium content (6). Gallbladder stone-associated abscesses that appear particularly in later periods may radiologically mimic significant pathologies like retroperitoneal sarcoma, peritoneal metastasis, and gastric tumors (3,6). A well-taken anamnesis proves to be quite important in the differential diagnosis of such cases.…”

Section: Discussionmentioning

confidence: 99%

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Perihepatic and abdominal wall abscess mimicking hydatid cyst: A late complication of residual gallbladder stones

Taşçı¹,

Türk²,

Karagülle³

2022

JECM

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Intraoperational perforation of the gallbladder and the related residual intraabdominal gallbladder stone presence in cholelithiasis procedures are more commonly seen problems in laparoscopic cholecystectomy than those of open cholecystectomy procedures. Residual intraabdominal stones, though rare, can be encountered in early or late complications that can lead to diagnostic challenges and serious morbidity. A 44-year-old female patient presented with complaints of abdominal pain and swelling on her abdominal wall for the last 6 months. The patient had been in follow-up with hydatid cyst pre-diagnosis following abdominal ultrasonography performed at an external center. The patient’s medical history revealed that she had undergone laparoscopic cholecystectomy surgery due to cholelithiasis 1.5 years before. Her abdominal computed tomography performed at our hospital showed abscess formations suggested to have been formed due to gallbladders stones. The patient, whose abscess was drained, and stones were extracted laparoscopically, was discharged on the second postoperative day. Residual intraabdominal gallbladder stones can lead to serious complications and misdiagnoses even years later. Utmost attention should be paid to prevent all these and not to perforate the gallbladder during surgery, while ultimate patience and effort should be put in to remove all the gallbladder stones if they are spilled.

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Section: Discussionmentioning

confidence: 99%

“…It has been reported that gallbladder stones spilled into the abdominal cavity in 7% of laparoscopic cholecystectomy procedures while 16-50% of these stones could not be extracted (2). Nevertheless, complications brought about by such irremovable stones are rare and they are seen merely in 1.4% of the cases (3).…”

Section: Introductionmentioning

confidence: 99%