𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Abdominal abscess from gallstones spilled at laparoscopic cholecystectomy

✍ Scribed by E. Shocket

Publisher
Springer
Year
1995
Tongue
English
Weight
311 KB
Volume
9
Category
Article
ISSN
0930-2794

No coin nor oath required. For personal study only.

✦ Synopsis

One case is reported and 14 others are culled from the literature. Each patient experienced an intraperitoneal abscess with a gallstone nidus following laparoscopic cholecystectomy. Each required open surgical drainage weeks or months after the initial laparoscopic cholecystectomy.

The natural biology of spilled intraperitoneal gallstones is not known. Two short-term animal studies suggest initial partial lysis and fibrotic encapsulation.

At least 15% of completed laparoscopic cholecystectomies leave intraperitoneal gallstones. Almost all prove to be clinically innocuous but the rare instances of later intraabdominal abscess formation deserve recognition and reporting.

πŸ“œ SIMILAR VOLUMES

Spilled gallstonesβ€”complications of abdo
Spilled gallstonesβ€”complications of abdominal-wall abscesses
✍ C. B. Carlin; R. B. Kent; H. L. Laws πŸ“‚ Article πŸ“… 1995 πŸ› Springer 🌐 English βš– 219 KB

Laparoscopic cholecystectomy has become the preferred method for removal of the diseased gallbladder. While its morbidity and mortality rates are lower than those of the open technique, it does have associated complications which may cause significant morbidity. The morbidity associated with spilled

Delayed gallstone abscess following lapa
Delayed gallstone abscess following laparoscopic cholecystectomy
✍ J. D. Mellinger; T. J. Eldridge; E. D. Eddelmon; M. M. Crabbe πŸ“‚ Article πŸ“… 1994 πŸ› Springer 🌐 English βš– 940 KB

Delayed infectious complications following elective laparoscopic cholecystectomy have not been well delineated in the medical literature. Irretrievable spillage of gallbladder contents at the time of laparoscopic cholecystectomy is not rare, and has generally been felt to be of little consequence, p