Summary
Stones are sometimes spilled at the time of cholecystectomy. Retrieval may be difficult, especially during laparoscopic cholecystectomy. Little is known about the natural history of missed stones which are left behind in the peritoneal cavity. We present a case in which a patient developed an intraabdominal abscess around such a stone. The abscess recurred after drainage and removal of the stone was needed for resolution. This case suggests that care should be taken to avoid stone spillage, and that stones which are spilled into the abdomen should be retrieved.
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References
Jacob H, Rubin KP, Cohen MC, Kahn IJ, Kan P (1979) Gallstones in a retroperitoneal abscess: a late complication of perforation of the gallbladder. Dig Dis Sci 24: 964–966
The Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 324: 1073–1078
Wolfe BM, Gardiner BN, Leary BF, Frey CF (1991) Endoscopic cholecystectomy: an analysis of complications. Arch Surg 26: 1192–1198
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Currently in practice in St. Paul, MN, USA
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Wilton, P.B., Andy, O.J., Peters, J.J. et al. Laparoscopic cholecystectomy. Surg Endosc 7, 537–538 (1993). https://doi.org/10.1007/BF00316699
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DOI: https://doi.org/10.1007/BF00316699