Gallstone shrapnel contamination during laparoscopic cholecystectomy.
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.
Golub
R
R
Department of Surgery, Flushing Hospital Medical Center, NY 11355.
Nwogu
C
C
Cantu
R
R
Stein
H
H
D018784:Abdominal Abscess / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery; D002784:Cholesterol; D005260:Female; D005704:Gallbladder / Q000293:injuries*; D042882:Gallstones / Q000601:surgery; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006554:Hernia, Umbilical / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D007710:Klebsiella Infections / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D007711:Klebsiella pneumoniae; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012421:Rupture; D016717:Sphincterotomy, Endoscopic
D002784:Cholesterol