Missed Gallstones in the Abdominal Wall: Complication of a Laparoscopic Cholecystectomy

• Autor(a) principal: Frade, S
• Data de Publicação: 2020
• Outros Autores: Carrelha, S, Monteiro, N, Moniz, L, Viegas, H
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.17/4836
• topic: HSJ CIR; Adult; Humans; Male; Abdominal Pain / etiology; Abdominal Wall / pathology; Abscess / etiology; Cholecystectomy, Laparoscopic / adverse effects*; Cholecystitis, Acute / surgery; Gallstones / diagnosis*; Gallstones / pathology; Gallstones / surgery; Granuloma, Foreign-Body / diagnosis*; Granuloma, Foreign-Body / pathology; Granuloma, Foreign-Body / surgery; Intraoperative Complications / diagnosis

Laparoscopic cholecystectomy, like any invasive procedure, is associated with complications. One of them often ignored despite its frequency, as the results of the low morbidity rate is stone spillage. We present a case of a 38 years male, with obesity; that underwent laparoscopic cholecystectomy for an acute cholecystitis. During surgery, gallbladder perforation occurred with stone spillage. An attempt was made for recovery of all stones. However, one month after surgery, the patient complained of abdominal pain in the upper right quadrant and an abscess of the deep abdominal wall was found caused by a missed gallstone. Although the definitive treatment was not immediate, an attempt at antibiotic therapy was made, unsuccessfully. Afterwards, this patient underwent gallstone extraction and removal of foreign body granuloma with complete resolution of the clinical condition.