Dropped Gallstones Causing a Perihepatic Abscess and Empyema
Joint Authors
Robinson, J. R.
Wright, J. K.
Geevarghese, S. K.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-02
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Robinson, J. R.& Wright, J. K.& Geevarghese, S. K.. 2015. Dropped Gallstones Causing a Perihepatic Abscess and Empyema. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060102
Modern Language Association (MLA)
Robinson, J. R.…[et al.]. Dropped Gallstones Causing a Perihepatic Abscess and Empyema. Case Reports in Surgery No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060102
American Medical Association (AMA)
Robinson, J. R.& Wright, J. K.& Geevarghese, S. K.. Dropped Gallstones Causing a Perihepatic Abscess and Empyema. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060102
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060102