title: Ovarian cholelithiasis after laparoscopic cholecystectomy associated with chronic pelvic pain.
abstract: OBJECTIVE
  To report a case of chronic pelvic pain associated with ovarian cholelithiasis and discuss prevention and management of this condition.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 39-year-old woman who presented with right lower abdominal pain after a laparoscopic cholecystectomy.
  
  
  METHODS
  Diagnostic laparoscopy followed by laparotomy with lysis of adhesions and removal of three to four dozen gallstones.
  
  
  METHODS
  Patient's subjective report of pain.
  
  
  RESULTS
  Resolution of patient's pain.
  
  
  CONCLUSIONS
  Gallstones spilled into the peritoneal cavity may migrate and adhere to the dependent portions of the pelvis, potentially resulting in pelvic pain or infertility. This suggests the importance of removing inadvertently spilled gallstones at the time of surgery or using nonsurgical methods of gallstone management in reproductive-aged females.
authors.affiliation: Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3360, USA.
authors.forename: M E
authors.initials: ME
authors.lastname: Pfeifer
authors.forename: K A
authors.initials: KA
authors.lastname: Hansen
authors.forename: S P
authors.initials: SP
authors.lastname: Tho
authors.forename: R S
authors.initials: RS
authors.lastname: Hines
authors.forename: L
authors.initials: L
authors.lastname: Plouffe
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications* / Q000209:etiology* / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007813:Laparotomy; D010049:Ovarian Diseases / Q000150:complications* / Q000209:etiology* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology*; D011183:Postoperative Complications