Journey of a stone-thirty years on

Laparoscopic cholecystectomy is the gold standard surgical treatment of gallstone disease and a commonly performed procedure in general surgery. Retained gallstones from intraoperative spillage remain largely asymptomatic and complications are rare. Peak incidence of presentation occurs within a yea...

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Bibliographic Details
Published in:Journal of surgical case reports 2023-02, Vol.2023 (2), p.rjad069
Main Authors: Nan, Xinyi, Prabha, Ramesh Damodaran, Rashid, Muddassir, Patel, Bhavik
Format: Article
Language:English
Subjects:
Case Report
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Summary:Laparoscopic cholecystectomy is the gold standard surgical treatment of gallstone disease and a commonly performed procedure in general surgery. Retained gallstones from intraoperative spillage remain largely asymptomatic and complications are rare. Peak incidence of presentation occurs within a year; however, it is important to recognize retained gallstones as a differential for acute presentations even many years postoperatively. We present the case of a 74-year-old female who presented with a retained-gallstone-associated abdominal wall abscess 30 years after spillage during the original surgery, which was successfully treated with a stepwise extraperitoneal approach with local drainage.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjad069