Dropped Gallstones Causing a Perihepatic Abscess and Empyema

Joint Authors

Robinson, J. R.
Wright, J. K.
Geevarghese, S. K.

Source

Case Reports in Surgery

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

Medicine

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