Gall stone abscess, a delayed complication following laparoscopic cholecystectomy

Aruni, Amaresh; Kumar, Hemanth; Singh, Harjeet; Nagaraj, Satish Subbiah

doi:10.18203/2349-2902.isj20194085

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The gold-standard treatment for symptomatic gallstone disease is laparoscopic cholecystectomy, developed in Germany in 1985 by Erich Mühe [8]. This procedure, however, is associated with complications including injury to blood vessels, gastrointestinal tract (GIT), and biliary system, and gallbladder perforation with spillage of bile and gallstones, particularly when the wall is gangrenous or inadvertently injured by diathermy.…”

Section: Discussionmentioning

confidence: 99%

Achromobacter xylosoxidans Subdiaphragmatic Collection as a Result of a Dropped Stone During Laparoscopic Cholecystectomy

Alzeer¹,

Alghafees²,

Bedah³

2021

Cureus

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After a cholecystectomy, dropped stones can serve as a nidus for abscess formation. Intrabdominal abscesses tend to cause irritation and inflammation of the peritoneum and are thus rarely asymptomatic. This report discusses a 38-year-old female complaining of a recurrent right upper quadrant pain that led to multiple hospital admissions. Her surgical history was significant for cholecystectomy six years back complicated by a retroperitoneal abscess which was drained twice. A computed tomography (CT) scan was done, and she was diagnosed with a subdiaphragmatic collection as a result of a dropped stone.

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Section: Discussionmentioning

confidence: 99%

Achromobacter xylosoxidans Subdiaphragmatic Collection as a Result of a Dropped Stone During Laparoscopic Cholecystectomy

Alzeer¹,

Alghafees²,

Bedah³

2021

Cureus

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Spilled gallstones after laparoscopic cholecystectomy: a systematic review

et al. 2022

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Aim: The study was conducted to analyse the recent peer-reviewed literature related to symptomatic spilled gallstones after Laparoscopic Cholecystectomy (LC). Materials and methods: Articles published in the peer-reviewed journals of repute from 2012–2022 were evaluated for nine variables including: [I] age of the patient, [II] gender, [III] interval since index LC, [IV] index LC if emergent/difficult or elective/straightforward, [V] clinical presentation, [VI] spilled gallstones if detected by imaging, [VII] management, [VIII] approach to management, [IX] number of spilled gallstones. Results: There were a total of 71 cases (37 males and 34 females) with a mean age of 63.7 years. The time of onset of symptoms from spilled gallstones, after index LC, ranged from 2 days to 15 years and 57 patients (80.3%) presented within 6 years. Forty (56.3%) patients were unaware of the fact that gallstone spillage had occurred during index LC. The retained gallstones were detected by imaging in 47 (66.1%) cases and they were multiple in 51 (71.8%). In 52 patients (73.2%), the stones manifested as abdominal abscess/foreign body granuloma; the other presentations being pelvic pain/fistula, intestinal obstruction, abdominal lump simulating malignancy, incidental finding of metastatic lesions and generalized peritonitis. The major approaches adopted to retrieve the retained stones included open surgery, laparoscopy and percutaneous drainage. There were two deaths (2.9%) due to spilled gallstones. Conclusion: Retained gallstones represent a complication of laparoscopic cholecystectomy (LC) that has a potential to create morbidity and diagnostic difficulties, even after a substantial delay. There is a need to spread awareness about the adverse effects of spilled stones so that they are actively looked for and retrieved if gallbladder perforates during cholecystectomy. Whenever such a complication occurs, the patient should be properly informed and the details should be very clearly mentioned in the operation notes.

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Gall stone abscess, a delayed complication following laparoscopic cholecystectomy

Cited by 2 publications

References 13 publications

Achromobacter xylosoxidans Subdiaphragmatic Collection as a Result of a Dropped Stone During Laparoscopic Cholecystectomy

Achromobacter xylosoxidans Subdiaphragmatic Collection as a Result of a Dropped Stone During Laparoscopic Cholecystectomy

Spilled gallstones after laparoscopic cholecystectomy: a systematic review

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