Abstract
The fate of lost gallstones in the peritoneal cavity following laparoscopic cholecystectomy is unknown. We report a case of microabscesses and granuloma formation in the peritoneal cavity and abdominal wall caused by infected gallstone shrapnel due to rupture of the gallbladder during extraction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Catarci M, Zaraca F, Scaccia M, Carboni M (1993) Lost intraperitoneal stones after laparoscopic cholecystectomy: harmless sequela or reason for reoperation? Surg Laparosc Endosc 3: 318–322
Clayman RV, Kavoussi LR, Long SR, Dierks SM, Meretyk S, Soper NJ (1990) Laparoscopic nephrectomy: initial report of pelviscopic organ in the pig. J Endourol 4: 247–252
Fitzgibbons RJ, Annibali R, Litke BS (1993) Gallbladder and gallstone removal, open versus closed laparoscopy, and pneumoperitoneum. Am J Surg 165: 497–504
Gadacz TR, Talamini MA, Lillemoe KD, Yeo CJ (1990) Laparoscopic cholecystectomy. Surg Clin North Am 70: 1249–1262
Hassan HM (1971) A modified instrument and method of laparoscopy. Am J Obstet Gynec 110: 886
Jacob H, Rupin KP, Cohen MC, Kahn IJ, Kan P (1979) Gallstones in a retroperitoneal abscess: a late complication of perforation of the gallbladder. Dig Dis Sci 24: 964–996
National Institutes of Health consensus development conference statement of gallstones and laparoscopic cholecystectomy (1993) Am J Surg 165: 390–398
Sax HC, Adams JT (1993) The fate of the spilled gallstone. Arch Surg 128: 469
Soper NJ, Dunnegan DL (1991) Does intraoperative gallbladder perforation influence the early outcome of laparoscopic cholecystectomy? Surg Laparosc Endosc 1: 156–161
Spaw AT, Reddick EJ, Olsen DO (1991) Laparoscopic laser cholecystectomy: analysis of 500 procedures. Surg Laparosc Endosc 1: 2–7
Stewart L, Smith AL, Pellegrini CA, Motson RW, Way LW (1987) Pigment gallstones form as a composite of bacterial microcolonies and pigment solids. Ann Surg 206: 242–250
Unger SW, Edelman DS, Scott JS, Unger HM (1991) Laparoscopic treatment of acute cholecystitis. Surg Laparosc Endosc 1: 14–16
Welch NT, Hinder RA, Ciurej T, Bacon N (1991) Laparoscopic capture of “escaped” gallstones. Surg Laparosc Endosc 1: 42–44
Welch N, Hinder RA, Fitzgibbons RJ, Rouse JW (1991) Gallstones in the peritoneal cavity: a clinical and experimental study. Surg Laparosc Endosc 1: 246–247
Williams LF, Chapman WC, Bonau RA, McGee EC, Boyd RW, Jacobs JK (1993) Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center. Am J Surg 165: 459–465
Zucker KA, Bailey RW, Flowers J (1992) Laparoscopic management of acute and chronic cholecystitis. Surg Clin North Am 72: 1045–1067
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Golub, R., Nwogu, C., Cantu, R. et al. Gallstone shrapnel contamination during laparoscopic cholecystectomy. Surg Endosc 8, 898–900 (1994). https://doi.org/10.1007/BF00843465
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00843465