Gallbladder and gallstone removal, open versus closed laparoscopy, and pneumoperitoneum

Araújo

Rev. Colomb. Gastroenterol.

et al. 2017

La colecistectomía laparoscópica (CL) es la técnica quirúrgica de elección actual para el tratamiento de la colelitiasis sintomática. Sin embargo, este procedimiento acarrea ciertas complicaciones, dentro de lascuales destacamos la perforación de la vesícula biliar con subsiguiente caída de los cálculos y bilis a la cavidad peritoneal, que puede dar origen a la formación de abscesos abdominales tiempo después de dicho procedimiento quirúrgico.Por tal motivo, los cálculos biliares abandonados deben reconocerse como una fuente potencial para la formación de un proceso inflamatorio intraabdominal, en especial cuando se tiene historia de perforaciónvesicular durante el procedimiento, o en los casos de conversión a colecistectomía abierta y caída de los cálculos a la cavidad peritoneal. Tanto los radiólogos como los cirujanos deben familiarizarse con los hallazgos imagenológicos de las diferentes modalidades diagnósticas, como el ultrasonido, la TC y la resonancia magnética, así como con las diferentes manifestaciones clínicas que pueden presentarse.En esta publicación, presentamos los casos de 7 pacientes con antecedente de colecistectomía laparoscópica que acudieron al servicio de urgencia de nuestro hospital por dolor abdominal y en quienes los hallazgos imagenológicos determinaron la presencia de colecciones perihepáticas por cálculos caídos.

Section: Discussionunclassified

Hallazgos imagenológicos en cálculos abandonados en cavidad abdominal posterior a colecistectomía por laparoscopia: serie de 7 casos y revisión de la literatura

Araújo

Rev. Colomb. Gastroenterol.

et al. 2017

“…Many articles have described the complications related to this technique: bile duct injuries, choledocholithiasis, cystic duct stump leak, bowel lacerations, abscesses, and intraperitoneal gallstones are among the most frequently reported [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…Rupture of the gallbladder wall with stones spilling into the abdominal cavity is reported to complicate 25-30% of laparoscopic cholecystectomy [1]. It can happen when significant retraction of the gallbladder is required to obtain adequate exposure of the porta hepatis, or during extraction of the gallbladder through the umbilical incision at the end of the surgery.…”

Section: Discussionmentioning

confidence: 99%

Delayed peritoneal and retroperitoneal abcesses caused by spilled gallstones: a complication following laparoscopic cholecystectomy

et al. 1995

Many complications following laparoscopic cholecystectomy have been reported. We report a case of delayed peritoneal and retroperitoneal abscesses caused by spilled gallstones from a laparoscopic cholecystectomy performed 1 year earlier. This diagnosis was suggested only at sonography because the aggressive behavior of the lesions containing nonopaque gallstones suggested, by computed-tomography scan, peritoneal metastatic disease.

“…Among the reported causes prevalence of dropped appendicolith is much less common than dropped gallstones, which have been reported to spill out of the gallbladder in as many as 40% of cholecystectomies [38][39][40].…”

Section: Differential Diagnosismentioning

confidence: 99%

Dropped Appendicolith: Complications and Management

Yethadka

Kl³

2015

Int Jour of Biomed Res

Appendicitis is one of the most common acute abdomen presenting to emergency department and appendicectomy is the commonest emergency laparotomy performed worldwide. Laparoscopic appendicectomy is gaining popularty nowadays due to its advantageous over open procedure. But the complications such as postoperative abscess formation are more common with laparoscopic approach, the culprit being dropped appendicolith in most cases. This review explains about the presentation of dropped appendicolith, complications, prevention and the management of the same.