Abdominal Wall Abscess Following Laparoscopic Cholecystectomy: An Unusual Late Complication of Lost Gallstones | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2010]

Author(s):

1. Muhammad Ibrar Hussain: Department of General Surgery, King Saud University, King Saud Medical Complex,Riyadh, Kingdom of,Saudi Arabia

2. Mohammed Hamad Al-Akeely: Department of General Surgery, King Saud University, King Saud Medical Complex,Riyadh, Kingdom of,Saudi Arabia

3. Mohammed Khurshid Alam: Department of General Surgery, King Saud University, King Saud Medical Complex,Riyadh, Kingdom of,Saudi Arabia

4. Fahd Misfer Al-Abood: Department of General Surgery, King Saud University, King Saud Medical Complex,Riyadh, Kingdom of,Saudi Arabia

Abstract:

Laparoscopic cholecystectomy (LC) is associated with a significant risk of gallbladder perforation with spillage of bile and stones into the peritoneal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Majority of these cases do not have any problem in future but sometimes the lost stones lead to serious complications. The authors present a case of lost gallstones, which resulted into an abdominal wall abscess and discharging sinus 9 years after LC. This late presentation is among the very few reports after LC. Risk factors for gallbladder perforation, various techniques to avoid spillage of stones, possible complications and their management is discussed.

Page(s): 763-765

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 20, Issue: 11, Year: 2010

Keywords:

Laparoscopic cholecystectomy Stone spillage Lost gallstones Abdominal wall abscess

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