Late complication following percutaneous cholecystostomy: retained abdominal wall gallstone.
A case of recurrent abdominal wall abscess following percutaneous cholecystostomy (PC) is presented. Transperitoneal PC was performed in an 82-year-old female with calculous cholecystitis. Symptoms resolved and the catheter was removed 29 days later. The patient came back 5 months later with a superficial abscess that was drained and 8 months post PC with a fistula discharging clear fluid. Ultrasonography revealed the tract adjacent to an area of inflammation containing a calculus, whereas CT failed to depict the stone. Subsequent surgery confirmed US findings. To our knowledge, this is the first report of a dislodged bile stone following percutaneous cholecystostomy.
Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Greece.
M
M
Raissaki
A A
AA
Hatzidakis
P
P
Prassopoulos
A
A
Bakandaki
N
N
Vrachassotakis
S J
SJ
Vasilakis
N C
NC
Gourtsoyiannis
D018784:Abdominal Abscess / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis / Q000601:surgery; D002764:Cholecystitis / Q000175:diagnosis* / Q000601:surgery; D002767:Cholecystostomy; D002769:Cholelithiasis / Q000175:diagnosis* / Q000601:surgery; D004322:Drainage; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography