Right lumbar abscess containing a gallstone—an unexpected late complication of laparoscopic cholecystectomy

Abstract During laparoscopic cholecystectomy, gallbladder perforation may occur leading to gallstone spillage and despite being rare, early or late complications may therefore develop. We report a case of a 79-year-old female, with a past medical history of a laparoscopic cholecystectomy 3 years ear...

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Bibliographic Details
Published in:Journal of surgical case reports 2020-07, Vol.2020 (7)
Main Authors: Marçal, André, Pereira, Ricardo Vaz, Monteiro, Ana, Dias, José, Oliveira, António, Pinto-de-Sousa, João
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract During laparoscopic cholecystectomy, gallbladder perforation may occur leading to gallstone spillage and despite being rare, early or late complications may therefore develop. We report a case of a 79-year-old female, with a past medical history of a laparoscopic cholecystectomy 3 years earlier for symptomatic gallstones, admitted in the emergency department with a subcutaneous right lumbar abscess confirmed by computed tomography. Emergent abscess surgical drainage was performed and a gallstone was identified during saline lavage. Postoperative evolution was unremarkable and follow-up within a year was uneventful. Split gallstones due to gallbladder perforation during laparoscopic cholecystectomy should be retrieved in order to reduce future complications.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjaa248