Gallstone-Induced Inflammatory Fibrosis: A Relentless Clinical Course of Retained Gallstones after Laparoscopic Cholecystectomy

Heestand, Gregory; Morrison, Bryant; Correa, Adrian; Palmer, Suzanne; Mateo, Rod; Hagen, Jeffrey; Genyk, Yuri; Selby, Rick; Sher, Linda
April 2006
American Surgeon;Apr2006, Vol. 72 Issue 4, p303
Academic Journal
Multiple reports in the literature confirm that retained gallstones spilled during laparoscopic cholecystectomy perpetuate chronic inflammation and suppuration long after the initial operation. Two patients who had previously undergone laparoscopic cholecystectomy presented to our institution with complications of retained stones. Patient 1 presented with right upper quadrant pain and a mass involving the right hepatic lobe. Patient 2 presented with a draining right flank abscess. Both underwent exploratory laparotomy at which time multiple abscess cavities were found, many of which contained retained gallstones. Patient 1 required reoperation for recurrent abscesses 7 months after the initial procedure and has been disease free for 6 months. Patient 2 had abscess recurrence that required percutaneous drainage 1 year after the original procedure and has not had recurrence for 4 years.


Related Articles

  • Late abscess formation after spilled gallstones masquerading as a liver mass. Casillas, S.; Kittur, D. S. // Surgical Endoscopy;May2003, Vol. 17 Issue 5, p833 

    The most common complication during laparoscopic cholecystectomy is the spillage of stones into the abdominal cavity. Although spillage occurs in 30% of cases, the potential adverse effects of this event are rare and generally manifest within months. When complications do occur, however, they...

  • Gallstone ileus after laparoscopic cholecystectomy. Ivanov, I.; Beuran, M.; Venter, M. D.; Iftimie-Nastase, I.; Smarandache, R.; Popescu, B.; Boştină, R. // Journal of Medicine & Life;Jul-Sep2012, Vol. 5 Issue 3, p335 

    Gallstone ileus represents a rare complication (0,3-0,5%) of a serious, but common disease-gallstones, which affect around 10% of the population in the USA and Western Europe. Associated diseases (usually severe), elderly patients, delayed diagnosis and therapy due to late presentation to the...

  • Delayed Presentation of Spilled Gallstones. Ong, Evelyn G.P.; Watkins, R.M. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct99, Vol. 9 Issue 5, p445 

    Describes a case of a cutaneous sinus at the umbilical port site following spillage of gallstones during laparoscopic cholecystectomy. Rate of spillage of gallstones at laparoscopic cholecystectomy; Details of the case; Occurrence of spillage of gallstones.

  • A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy. HAJONG, RANENDRA; HAJONG, DEBOBRATTA; ANAND, MADHUR; SHARMA, GIRISH; NATUNG, TANIE // Journal of Clinical & Diagnostic Research;Oct2016, Vol. 10 Issue 10, p6 

    Introduction: Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. In the 1980s laparoscopic surgery revolutionized the management...

  • GALL STONES—AN INCREASING PROBLEM: A STUDY OF HOSPITAL ADMISSIONS IN ENGLAND 1989/1990-1999/2000. Gordon, C.; Ellis, C.; Majeed, A.; Hoare, J.; Tinto, A.; Williamson, R.C.N.; Tibbs, C.; Maxwell, J.D.; Kang, J.Y. // Gut;Apr2003 Supplement 1, Vol. 52, pA109 

    Background: The frequency of admissions and operations for gall stones increased in Western countries from the 1950s to the early 1990s. Since 1990, ERCP and laparoscopic cholecystectomy have been increasingly used, and recent trends of frequency of: admission and operations for gall stones are...

  • Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis. Nursal, Tarik Zafer; Baykal, Ataç; Iret, Düzgün; Aran, Ömer // Journal of Laparoendoscopic & Advanced Surgical Techniques;Aug2001, Vol. 11 Issue 4, p239 

    Situs inversus is a rare anomaly characterized by transposition of organs to the opposite side of the body. In this group of patients, cholelithiasis is observed with a frequency similar to the normal population. Herein, we report a patient with situs inversus totalis who underwent a successful...

  • Clipless Cholecystectomy: Which Sealer Should be Used? Kavlakoglu, Burak; Pekcici, Recep; Oral, Suleyman // World Journal of Surgery;Apr2011, Vol. 35 Issue 4, p817 

    Background: The use of the Harmonic Scalpel (HS) for cystic duct ligation began with little data about its efficacy or safety. On the other hand, there is not any literature available about the use of PlasmaKinetic Sealer (PK) for closing the cystic duct in laparoscopic cholecystectomy (LC)....

  • "Spilled" Gallstones Causing Abdominal Wall Abscess. Cheddie, S.; Allopi, L.; Singh, B. // Internet Journal of Surgery;2012, Vol. 28 Issue 4, p1 

    A 45-year-old female presented five months after laparoscopic cholecystectomy for symptomatic cholelithiasis with recurrent abdominal pain and an abdominal mass. CT scan revealed an abdominal wall abscess over the epigastric port site with a subcutaneous hyperdense focus suggesting a "spilled"...

  • Contraindications and complications of laparoscopic cholecystectomy. Rappaport, William D.; Gordon, Paul // American Family Physician;12/1/1994, Vol. 50 Issue 8, p1707 

    Discusses contraindications of laparoscopic cholecystectomy, a procedure used for the removal of symptomatic gallstones. Comparison with open cholecystectomy; Empyema of the gallbladder; Gangrenous cholecystitis; Coagulopathy; Portal hypertension; Peritonitis; Complications; Family physician's...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics