Misleading Diagnostics After a Presumed Recovery of Gallstone Spillage

2020 ◽  
Vol 03 (03) ◽  
Author(s):  
M Arbogast ◽  
C A Nebiker
Keyword(s):  
Gallstone Spillage

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

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
André Marçal ◽  
Ricardo Vaz Pereira ◽  
Ana Monteiro ◽  
José Dias ◽  
António Oliveira ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Late Complication ◽  
Late Complications ◽  
Gallbladder Perforation ◽  
Past Medical History ◽  
Symptomatic Gallstones ◽  
History Of ◽  
Gallstone Spillage ◽  
Saline Lavage

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.

scholarly journals Attitudes and Practices of Surgeons towards Spilled Gallstones during Laparoscopic Cholecystectomy: An Observational Study

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Ramya Yethadka ◽  
Shraddha Shetty ◽  
Abhishek Vijayakumar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Diagnostic Challenge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Management Of Complications ◽  
Long Time ◽  
General Surgeons ◽  
Operative Notes ◽  
Gallstone Spillage

The sequelae of spilled gallstones after Laparoscopic cholecystectomy (LC) and the occurring complications may go unnoticed for a long time and can be a diagnostic challenge. The aim of this survey was to study the knowledge, attitude, and practices of surgeons regarding spilled gallstones during LC. An observational, cross-sectional survey, using a questionnaire based on 11 self-answered close-ended questions, was conducted among general surgeons. Of the 138 respondents only 29.7% had observed a complication related to gallstone spillage during LC. There was varied opinion of surgeons regarding management of spilled gallstones, documenting the same in operative notes and consent. It was observed that there is lack of knowledge regarding the complications related to gallstone spillage during LC. There is need to educate surgeons regarding safe practices during LC to avoid gallstone spillage, early diagnosis, and management of complications. There is need to standardize practice to retrieve lost gallstones to reduce complication and legal consequences.

scholarly journals The development of laparoscopic technology in light of cholecystectomies performed between 1994 and 2007

2009 ◽  
Vol 150 (48) ◽  
pp. 2189-2193
Author(s):  
Péter Lukovich ◽  
Tímea Vanca ◽  
Dániel Gerő ◽  
Péter Kupcsulik
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Surgery ◽  
Minimal Invasive ◽  
Chi Square ◽  
Female Ratio ◽  
Surgical Method ◽  
Male Female Ratio ◽  
Significance Levels ◽  
Gallstone Spillage ◽  
Laparoscopic Techniques

The spread of laparoscopy has required surgeons to familiarize with a completely new surgical method and by today this method has clearly become of major importance in gastrointestinal surgery. The evolution of laparoscopic cholecystectomy offers many good lessons to learn for the purposes of advanced laparoscopic surgeries and surgeons may benefit from this experience in any process of introducing new minimal invasive techniques. Methods and Material: We have made a retrospective analysis of the data of the cholecystectomies made in the 1st. Department of Surgery, Semmelweis University, right after laparoscopy had become a widely spread, routine surgical method (1994) as well as 13 years later (2007). The data have been processed using the SPSS 16.0 application package. Significance levels have been established with the chi-square probe. Results: Within the analyzed timeframe we could clearly see a growing use of laparoscopic techniques (52.09% vs. 90.13%) with a growing number of cases (263/304), unchanged average age (~53.5 years) and constant male/female ratio (75/25%). The BMI increased moderately (26.5 vs. 27.6), but the frequency of laparoscopic interventions on extremely obese patients grew (BMI: 25–30 37.93% vs. 44.39%, 30–35 13.79% vs. 20.6% 35–40 6.89% vs. 5.82% and 40 \lt; 0% vs. 1.34%) while the postoperative hospitalization decreased dramatically from 5.9 days to 2.3. In year 1994, patients spent on the average 2.9 days in hospital after a laparoscopic surgery, while in year 2007 nearly 25% of the patients left the hospital 1 day after surgery. The duration of a laparoscopic surgery decreased from 78 minutes to 53, and the occurrence of intraoperative bleeding, gall bladder perforation and gallstone spillage also decreased. The conversion ratio increased from 2.7% to 4.9%. In 3% of the laparoscopic cholecystectomies (10 patients) only 3 ports were used during surgery. Discussion: As surgeons have come to master the new technique, the previous relative and absolute pros and cons have been revised and at present 90% of cholecystectomies are made using laparoscopy. The data collected in the analysis of laparoscopic techniques can be used to research, learn and eventually introduce Natural Orifice Transluminal Endoscopic Surgery.

scholarly journals Abdominal Wall Sinus: A Late Complication of Gallstone Spillage During Laparoscopic Cholecystectomy

HPB Surgery ◽  
1997 ◽  
Vol 10 (3) ◽  
pp. 163-164 ◽  
Author(s):  
Michael D. Graham ◽  
Paul G. Anderson ◽  
James Toouli
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Late Complication ◽  
Biliary Complication ◽  
Gallbladder Perforation ◽  
Sinus Formation ◽  
Complications Of Laparoscopic Cholecystectomy ◽  
Gallstone Spillage

Long term complications of laparoscopic cholecystectomy are uncommon. However, as experience with this procedure accumulates, sporadic reports of non-biliary complication have been published. We report a case of abdominal wall sinus formation secondary to gallbladder perforation and stone spillage occurring during laparoscopic cholecystectomy.

scholarly journals Dropped Gallstones Causing a Perihepatic Abscess and Empyema

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
J. R. Robinson ◽  
J. K. Wright ◽  
S. K. Geevarghese
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Cholecystectomy ◽  
Fluid Collection ◽  
Surgical Operation ◽  
Initial Operation ◽  
Iatrogenic Perforation ◽  
Abdominal Exploration ◽  
Night Sweats ◽  
Fluid Collections ◽  
Gallstone Spillage

Iatrogenic perforation of the gallbladder during laparoscopic cholecystectomy is a well-known occurrence; however, the consequences of spillage of gallstones in the peritoneum and particularly intrathoracic complications are less defined. We describe the delayed development of a perihepatic abscess and empyema in a patient five years following laparoscopic cholecystectomy secondary to dropped gallstones. A 53-year-old man with medical history significant for a laparoscopic cholecystectomy five years prior to acute cholecystitis presented with purulent cough, hemoptysis, night sweats, and right-upper quadrant (RUQ) pain. Computed tomography (CT) scan revealed 5.4 cm right-sided subpulmonic and 5.9 cm perihepatic fluid collections with an 8 mm focal radiopaque density within the perihepatic fluid collection. Open intra-abdominal exploration resulted in retrieval of a 1 cm intraperitoneal gallstone. Laparoscopic cholecystectomy is a common surgical operation during which gallstone spillage can occur, causing both intra-abdominal and intrathoracic complications, presenting even years after surgery. This necessitates an attempt to retrieve all free intra-abdominal gallstones during the initial operation.

scholarly journals Free Intraperitoneal Gallstone: An Unusual Case of Small Bowel Obstruction from Extrinsic Compression

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kor Woi Tiang ◽  
Hang Fai So ◽  
Yang Hwang ◽  
Manjunath Siddaiah-Subramanya
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Late Complications ◽  
Distal Ileum ◽  
Extrinsic Compression ◽  
Laparoscopic Drainage ◽  
Gallstone Spillage

Laparoscopic cholecystectomy (LC) is preferred in the treatment of symptomatic cholecystolithiasis. Gallstone spillage is not uncommon, and there have been reports of associated complications. We report a case of a free intraperitoneal gallstone, left inadvertently during LC, which developed an inflammatory phlegmon with abscess containing gallstone, causing extraluminal compression on the distal ileum, resulting in small bowel obstruction. This complication in particular is almost unheard of. The patient underwent laparoscopic drainage of abscess and retrieval of gallstone, which relieved the obstruction. Clinicians, therefore, need to keep an open mind in the workup for bowel obstruction. During LC, gallstone spillage should be prevented and retrieved whenever possible to minimize early and late complications associated with it.

scholarly journals Thoracic empyema after gallstone spillage in times of Covid

2020 ◽  
Vol 76 ◽  
pp. 221-226
Author(s):  
Ariel Nicolas Tchercansky ◽  
Joaquin Fernandez Alberti ◽  
Nicolas Panzardi ◽  
Rodolfo Auvieux ◽  
Agustin Buero
Keyword(s):  
Thoracic Empyema ◽  
Gallstone Spillage

scholarly journals Retroperitoneal Abscess Formation as a Result of Spilled Gallstones during Laparoscopic Cholecystectomy: An Unusual Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Grigoris Chatzimavroudis ◽  
Stefanos Atmatzidis ◽  
Basilis Papaziogas ◽  
Ioannis Galanis ◽  
Ioannis Koutelidakis ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Clinical Symptoms ◽  
Gallstone Disease ◽  
Abscess Formation ◽  
Gallbladder Perforation ◽  
Retroperitoneal Abscess ◽  
Ct Guided ◽  
Good General Condition ◽  
Gallstone Spillage ◽  
Unusual Case Report

One of the complications of laparoscopic cholecystectomy for gallstone disease that seems to exceed that of the traditional open method is the gallbladder perforation and gallstone spillage. Its incidence can occur in up to 40% of patients, and in most cases its course is uneventful. However in few cases an abdominal abscess can develop, which may lead to significant morbidity. Rarely an abscess formation due to spilled and lost gallstones may occur in the retroperitoneal space. We herein report the case of a female patient who presented with clinical symptoms of sepsis six months following laparoscopic cholecystectomy. Imaging investigations revealed the presence of a retroperitoneal abscess due to retained gallstones. Due to patient’s decision to refuse abscess’s surgical drainage, she underwent CT-guided drainage. The 24-month followup of the patient has been uneventful, and the patient remains in good general condition.

Sign in / Sign up

Export Citation Format

Share Document