Abdominal Wall Abscess Following Laparoscopic Cholecystectomy: An Unusual Late Complication of Lost Gallstones

作者：Hussain Muhammad Ibrar^*; Al Akeely Mohammed Hamad; Alam Mohammed Khurshid; Al Abood Fahd Misfer

来源：Journal of the College of Physicians and Surgeons Pakistan, 2010, 20(11): 763-765.

• Laparoscopic cholecystectomy
• Stone spillage
• Lost gallstones
• Abdominal wall abscess

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.

• 出版日期2010-11