Missed Gallstones in the Bile Duct and Abdominal Cavity: A Case Report

İrkörücü, Oktay; Taşçılar, Öge; Emre, Arif; Çakmak, Güldeniz Karadeniz; Uçan, Bülent Hamdi; Comert, Mustafa

doi:10.1590/s1807-59322008000400027

Cited by 12 publications

(16 citation statements)

References 13 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The need for intervention following a laparoscopic cholecystectomy with spilled stones has been documented to take place anywhere from 10 days to 20 years, with a peak incidence of 4–10 months 2 4. In our patient, the duration between laparoscopic cholecystectomy and initial complication of a loculated pleural effusion was 6 months.…”

Section: Discussionmentioning

confidence: 61%

See 1 more Smart Citation

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

et al. 2014

View full text Add to dashboard Cite

We report a case of a 72-year-old man who presented with a persistent pleural effusion and painful abscess in the right lower chest wall 6 months following a laparoscopic cholecystectomy. The patient subsequently developed a chronic cutaneous chest wall fistula requiring a large resection and complex closure. The complication was likely secondary to intraoperative spillage of gallstones. While previous reports describe gallstone spillage in the abdominal cavity as benign, this case illustrates that stones left in the abdominal cavity can potentially lead to significant morbidity. Therefore, stones should be diligently removed from the abdominal cavity when spillage occurs. In addition, it is important that operative notes reflect the occurrence of stone spillage so stones may be suspected when a patient presents with an abdominal or thoracic infection following a cholecystectomy.

show abstract

Section: Discussionmentioning

confidence: 61%

“…Furthermore, the chemical composition of the stone has been shown to correlate with the risk of intra-abdominal infection; bilirubinate stones are the most likely to harbour bacteria 4 18. In humans, reports have shown that up to 80–90% of pigmented stones have bacterial contamination,1 and the most common organism is E. coli 2…”

Section: Discussionmentioning

confidence: 99%

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

et al. 2014

View full text Add to dashboard Cite

show abstract

“…[5] The reason for our incidence being higher is likely to be the policy of taking on all gallbladder disease irrespective to the state of acuteness and friability of the gallbladder. The reported incidence of unretrieved [20,21,22] gallstones is 0% in our series, while an attempt was made to take out all the spilt stones [23] diligently. It is difficult to claim no stones were left behind.…”

Section: Discussionmentioning

confidence: 99%

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Choudhury¹

2017

jemds

View full text Add to dashboard Cite

BACKGROUNDGallstone spillage during laparoscopic cholecystectomy is not uncommon and despite all precautions and adoption of safety measures spilt gallstone remain unretrieved. We are trying to document the incidence of spilt gallstones during laparoscopic cholecystectomy, the cause and consequences of such spillage, probable measure to be adopted to prevent gallstone spillage during laparoscopic cholecystectomy and to take care to retrieve all spilt stones. MATERIALS AND METHODSThe study included 150 consecutive laparoscopic cholecystectomy pardoned between October 2014 and November 2015. Data were collected in a prospective manner. Detail study was conducted in terms of diagnosis and consequences of spillage of gallstones. Followup were performed at the end of 1 week, 1 month, 6 months and 1 year. RESULTSThe spillage of gall stones during surgery occurred in 19.04% of the cases. Majority of the spillage occurred due to perforation of the gall bladder during dissection followed by application of toothed grasper. Although, all visible spilt stones were retrieved during surgery, complication rate of 0.66% was observed. CONCLUSIONThe incidence and complications secondary to the spillage of gall stones during standard laparoscopic cholecystectomy is low, but avoidable; various complications can occur over a large period of time. Thus, it is advisable to retrieve as many gallstones as possible, short of converting to a laparotomy.

show abstract

“…Some of these complications are not so significant, while some others are very significant which include abscess in the abdominal wall, broncholithiasis, stone expectoration, cellulites, dyspareunia, erosion to the back, fat necrosis posterior of the rectus muscle, fever, fistula formation, gallstone granuloma, gluteal abscess, granulomatous peritonitis mimicking endometriosis, ileus, intestinal obstruction, implantation malignancy, incarcerated hernia, intra-abdominal abscess, jaundice, liver abscess mimicking malignancy, middle colic artery thrombosis, mimicking acute appendicitis, paracolic abscess, paraumbilical tumor, peritoneal abscess formation, pelvic abscess, pelvic stones, peritonitis, pleural empyema, fluid collections, pneumonia, port site stones, port site abscess, recurrent staphylococcal bacteremia, retrohepatic abscess, retroperitoneal abscess, retroperitoneal actinomycosis, right flank abscess, small bowel obstruction, stones in gastrocolic omentum, stones in hernia sac, stones of the ovary, stone of the fallopian tube, subhepatic abscess, subphrenic abscess, thoracoabdominal mycosis, trans diaphragmatic abscess, umbilical wound abscess, and vesical granuloma [3,4,[9][10][11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Virupaksha

2012

Indian J Surg

View full text Add to dashboard Cite

To document the incidence of spilt gallstones during laparoscopic cholecystectomy, the cause and consequences of such spillage. The study included 150 consecutive laparoscopic cholecystectomies performed between October 2007 and November 2008. Data was collected in a prospective manner in accordance to proforma. Follow up were performed at the end of 1 week, 1 month, 6 months and 1 year. The spillage of gall stones during surgery occurred in 19.04 % of the cases. Majority of the spillage occurred due to perforation of the gall bladder during dissection, followed by application of toothed grasper. Although all visible spilt stones were retrieved during surgery, complication rate of 0.66 % was observed. The incidence and complications secondary to the spillage of gall stones during standard laparoscopic cholecystectomy is low but avoidable. Various complications can occur, over a large period of time. Thus it is advisable to retrieve as many gallstones as possible short of converting to a laparotomy Dasari and Loan (JSLS 13(1):73-76, 2009), Daradkeh and Suwan (World J Surg 22:75-77, 1998).

show abstract

Missed Gallstones in the Bile Duct and Abdominal Cavity: A Case Report

Cited by 12 publications

References 13 publications

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Contact Info

Product

Resources

About